BASIC MINDFULNESS PORTLAND, LLC
NPI 1902128804
Psychologist - Clinical in Portland, OR

Active since February 18, 2010
1920 NW JOHNSON ST, SUITE 103, PORTLAND, OR 97209(503) 719-5499 Get Directions Write a Review

NPPES record last updated: February 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Basic Mindfulness Portland, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BASIC MINDFULNESS PORTLAND, LLC (NPI 1902128804) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since February 2010. The organization lists Janet M. Sims, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1902128804
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameBASIC MINDFULNESS PORTLAND, LLC
Location Address1920 NW JOHNSON ST, SUITE 103Portland, OR 97209-1325
Mailing Address1920 Nw Johnson St, Suite 103Portland, OR 97209-1325 · (503) 719-5499
Organization SubpartNo
Authorized OfficialJanet M. SimsCo-owner · (503) 719-5499
Enumeration DateFebruary 18, 2010
NPI 1902128804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in OR · 1978
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 4220 (OR)
1920 NW JOHNSON ST, Portland, OR 97209

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nutritionist
1920 NW JOHNSON ST, SUITE #123
PORTLAND, OR 97209
Acupuncturist
1920 NW JOHNSON ST, SUITE 10
PORTLAND, OR 97209
Massage Therapist
1920 NW JOHNSON ST
PORTLAND, OR 97209
Psychologist (Clinical)
1920 NW JOHNSON ST, SUITE 103
PORTLAND, OR 97209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Basic Mindfulness Portland, LLC's NPI number?

The NPI number for Basic Mindfulness Portland, LLC is 1902128804. It was assigned to this organization in the NPPES registry on February 18, 2010.

Where is Basic Mindfulness Portland, LLC located?

Basic Mindfulness Portland, LLC is located at 1920 NW Johnson St Suite 103, Portland, OR 97209. The listed phone number is (503) 719-5499.

What is Basic Mindfulness Portland, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Basic Mindfulness Portland, LLC was last updated on February 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.