Active NPI
Richard Kolbell, PHD, PC
- Clinical Neuropsychologist
- Portland, OR
National Provider Identifier
1982996179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 1084
- Legal business name
- RICHARD KOLBELL, PHD, PC
- Practice address
- 1923 NE Broadway St
Portland, OR 97232-1501 - Phone
- (503) 284-2371
- NPI assigned
- May 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Kolbell, PHD
- Title
- Owner
- Phone
- (503) 284-2372
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 1084 | OR | Primary |
Addresses
Primary practice location
1923 NE Broadway St
Portland, OR 97232-1501
Mailing address
1923 NE Broadway St
Portland, OR 97232-1501
Phone (503) 284-2371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123823 | Other | OR | OREGON STATE DEPARTMENT OF HUMAN SERVICES |
National Provider Directory
National Provider DirectoryLocations
1923 NE Broadway St
Portland, OR 97232
Phone (503) 284-2371
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- Portland, OR
- NPI 1144260738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304640000000",
"number": "1982996179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 NE BROADWAY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321501",
"telephone_number": "503-284-2371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1923 NE BROADWAY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321501",
"telephone_number": "503-284-2371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD KOLBELL, PHD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-06",
"last_updated": "2011-05-06",
"status": "A",
"authorized_official_last_name": "KOLBELL",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-284-2372",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "OR",
"license": "1084",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON STATE DEPARTMENT OF HUMAN SERVICES",
"identifier": "123823",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.