DR. JAMES BALDWIN POWELL (NPI# 1841312550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841312550 |
Entity Type | Individual |
Full Name | DR. JAMES BALDWIN POWELL |
Credential | PSY.D. |
Practice Address |
505 Ne 2nd St Gresham OR 97030-7511 |
Mailing Address |
5020 Se 27th St Gresham OR 97080-8237 |
Practice Telephone | 5036691040 |
Mailing Telephone | 5036632293 |
Enumeration Date | 2007-04-04 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 103G00000X | Clinical Neuropsychologist | 1160 | OR | Behavioral Health & Social Service Providers |
X | 103TC0700X |
Psychologist Specialization: Clinical |
1160 | OR | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | OMAP PROVIDER NUMBER | 132295 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215565924 | James F Powell Iv | Registered Nurse | 8070 Cleary Blvd Apt 702, Plantation, FL 33324-1367 | 2020-03-29 |
1942627658 | James Hayes Powell Jr. | General Practice | 5959 Grand Legacy Dr, Maineville, OH 45039-6701 | 2014-03-20 |
1104129170 | James Joseph Powell Iv | Hearing Aid Equipment | 1952 Macarthur Rd, Whitehall, PA 18052-5732 | 2010-12-14 |
1922291855 | James Bleak Powell | Dentist | Usa Dentac 21st Street, Bldg 2441, Fort Campbell, KY 42223-5369 | 2007-08-23 |
1841481611 | James Herbert Powell | Marriage & Family Therapist | 1112 N State Highway 173, Lake Arrowhead, CA 92352 | 2007-08-07 |
1184742512 | James Robert Powell | Counselor | 185 Industrial Parkway, Greenville, AL 36037 | 2007-03-26 |
1942360987 | James Thomas Powell | Dentist | 11560 Saint Augustine Rd, Suite 1, Jacksonville, FL 32258-1425 | 2006-12-11 |
1174693360 | James D Powell | Chiropractor | 4867 Munson St Nw, Canton, OH 44718 | 2006-11-08 |
1467466581 | James Robert Powell | Internal Medicine | 75 Landing Meadow Rd, Smithtown, NY 11787-1124 | 2006-07-27 |
1497778633 | James Scott Powell | Neurological Surgery | 1450 Diederich Blvd, Russell, KY 41169-1719 | 2006-07-26 |
Street Address |
505 NE 2ND ST |
City | GRESHAM |
State | OR |
Zip Code | 97030-7511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
Find all providers in zip 97030 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093278111 | Viva Wheaton Psyd LLC | Clinical Neuropsychologist | 603 E. Hancock St, Newberg, OR 97132 | 2019-04-08 |
1528532884 | Viva Wheaton | Clinical Neuropsychologist | 603 E. Hancock St., Newberg, OR 97132-3806 | 2019-01-18 |
1710334099 | Robyn Ashley Migliorini | Clinical Neuropsychologist | 497 Sw Century Dr Ste 104, Bend, OR 97702-1167 | 2016-05-17 |
1649640335 | Northwest Neurohealth LLC | Clinical Neuropsychologist | 501 N. Villa Road, Newberg, OR 97140 | 2015-10-07 |
1609265123 | Albany General Hospital | Clinical Neuropsychologist | 534 Pleasant View Way Nw, Suite 200, Albany, OR 97321-1700 | 2015-01-21 |
1902208846 | 360 Pediatric Psychology, PC | Clinical Neuropsychologist | 201 B Ave., Suite #285, Lake Oswego, OR 97034 | 2014-09-23 |
1497010706 | Leah B. Schock Phd, LLC | Clinical Neuropsychologist | 975 Sw Colorado Ave Ste 100, Bend, OR 97702-3155 | 2012-07-12 |
1639472319 | Opal Institute LLC | Clinical Neuropsychologist | 14780 Sw Osprey Dr. #285, Beaverton, OR 97007 | 2010-12-17 |
1275790461 | Audrina Alexis Mullane | Clinical Neuropsychologist | 534 Pleasant View Way Nw Ste 200, Albany, OR 97321-1789 | 2008-05-16 |
1801098090 | Nancy Loss | Clinical Neuropsychologist | 2223 Ne 47th Avenue, Portland, OR 97213 | 2007-06-01 |
Find all providers with the same taxonomy |
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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.