OrganizationActive
Mary Lee Nichols PHD LLC
NPI 1861974776 · Psychologist · Portland, OR
Mary Lee Nichols PHD LLC is a Psychologist organization in Portland, OR (NPI 1861974776).
Provider details
- NPI number
- 1861974776
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kathy Winslow, Office Manager(503) 277-3868
- License
- 949 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1133 Nw 21st Ave
Portland, OR 97209-1513
Phone: (503) 277-3868
Fax: (503) 650-1892
Street-level locationGet directions
Mailing address
1133 Nw 21st Ave
Portland, OR 97209-1513
Registry dates
- Enumerated
- 2018-09-06
- Last updated
- 2018-09-06
Frequently asked questions
- What is Mary Lee Nichols PHD LLC's NPI number?
- Mary Lee Nichols PHD LLC's National Provider Identifier (NPI) is 1861974776, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mary Lee Nichols PHD LLC?
- Mary Lee Nichols PHD LLC is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Mary Lee Nichols PHD LLC located?
- Mary Lee Nichols PHD LLC's practice location on file with NPPES is 1133 Nw 21st Ave, Portland, OR 97209-1513.
- What is Mary Lee Nichols PHD LLC's phone number?
- The practice phone number listed in the NPPES registry for Mary Lee Nichols PHD LLC is (503) 277-3868.
- Who is the authorized official for Mary Lee Nichols PHD LLC?
- The authorized official listed on Mary Lee Nichols PHD LLC's NPPES record is Kathy Winslow, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mary Lee Nichols PHD LLC's NPI active?
- Yes — Mary Lee Nichols PHD LLC's NPI (1861974776) is active in the NPPES registry as of the last update on 2018-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.