Active NPI
Erin A. Mueller, PHD
- Clinical Psychologist
- Portland, OR
National Provider Identifier
1992331607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1343
- Practice address
- 718 SW Alder St Ste 200
Portland, OR 97205-3423 - Phone
- (503) 799-8753
- NPI assigned
- Mar 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1343 | OR | Primary |
Addresses
Primary practice location
718 SW Alder St Ste 200
Portland, OR 97205-3423
Mailing address
PO Box 251
Corbett, OR 97019-0251
Phone (503) 799-8753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1992331607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251",
"city": "CORBETT",
"state": "OR",
"postal_code": "970190251",
"telephone_number": "503-799-8753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 SW ALDER ST STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972053423",
"telephone_number": "503-799-8753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "ERIN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-14",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "1343",
"primary": true
}
],
"identifiers": [],
"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 Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.