DR. RUBY LOUISA BERDINE (NPI# 1598919680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598919680 |
Entity Type | Individual |
Full Name | DR. RUBY LOUISA BERDINE |
Credential | PSY.D, CADC-1 |
Practice Address |
174 Commercial St Astoria OR 97103-4333 |
Mailing Address |
2841 Ne 21st Ave Portland OR 97212-3408 |
Practice Telephone | 9712272063 |
Practice Fax Number | 5033252821 |
Mailing Telephone | 9712272063 |
Mailing Fax Number | 5033252821 |
Enumeration Date | 2008-11-16 |
Last Update Date | 2015-10-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
OR | Behavioral Health & Social Service Providers | |
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
Y | 103TC0700X |
Psychologist Specialization: Clinical |
2275OR | OR | Behavioral Health & Social Service Providers |
Street Address |
174 COMMERCIAL ST |
City | ASTORIA |
State | OR |
Zip Code | 97103-4333 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275912503 | Tierra Firma LLC | Psychologist | 174 Commercial St, Astoria, OR 97103-4333 | 2015-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
1205239043 | Brittany Dawn Vigoren | Dental Hygienist | 433 30th St., Astoria, OR 97103 | 2014-10-08 |
1497188858 | Jennifer U Boggs | Counselor | 10 Pier 1 Ste 203, Astoria, OR 97103 | 2013-08-20 |
1780022046 | Judy J Curnow | Massage Therapist | 1 12th Street Suite 10, Astoria, OR 97103 | 2013-06-10 |
1659626612 | Megan Lampson | Physical Therapist | 646 16th Ave., Astoria, OR 97103 | 2012-07-16 |
1043580947 | Matthew Thomas Cassity | Physical Therapy Assistant | 646 16th St., Astoria, OR 97103 | 2012-01-09 |
1881975969 | Rebecca Nicole Roe | Contractor | 25 Whitebush Way, Astoria, OR 97103 | 2011-09-02 |
1346542214 | Michele Lynn Hart | Social Worker | 2120 Exchange, Astoria, OR 97103 | 2010-11-29 |
1447551197 | Barbara Ellen Arnold | Pharmacist | 3250 Leif Erickson Dr, Astoria, OR 97103 | 2010-11-11 |
1083915219 | Christina Louise Jones | Pharmacist | 3250 Lief Erickson Dr, Astoria, OR 97103 | 2010-11-04 |
Find all providers in zip 97103 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700420064 | Laura Derubeis-byrne | Psychologist | 3123 47th St Apt 2e, Astoria, NY 11103-1614 | 2019-10-30 |
1053853408 | Vivian Yeh | Psychologist | 3448 32nd St, Apt D1, Astoria, NY 11106-2761 | 2016-11-15 |
1497119275 | Yarisel Diaz | Psychologist | 3074 30th St, 3f Apt, Astoria, NY 11102-2604 | 2016-04-07 |
1316381197 | Antonios Kotsaftis | Psychologist | 2232 24th St, Astoria, NY 11105-3452 | 2013-04-23 |
1740234004 | Eleni Marcantonis | Psychologist | 2613 21st St, Astoria, NY 11102-3544 | 2006-05-20 |
1548245863 | Rosemary D Berdine | Psychologist | 174 Commercial Street, Astoria, OR 97103-6237 | 2005-12-09 |
1275912503 | Tierra Firma LLC | Psychologist | 174 Commercial St, Astoria, OR 97103-4333 | 2015-05-19 |
1720487531 | Harry Pitsikalis | Psychologist | 2011 20th St, Apt 2c, Astoria, NY 11105-3527 | 2014-08-18 |
1619392560 | Jessica Koblenz | Psychologist | 2540 Shore Blvd, 4i, Astoria, NY 11102-3941 | 2014-03-02 |
1487990669 | Emily Bonneville Ogden | Psychologist | 3051 36th St, First Floor, Astoria, NY 11103-4704 | 2012-12-17 |
Find all providers in ASTORIA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.