OrganizationActive
Basic Mindfulness Portland, LLC
NPI 1902128804 · Clinical Psychologist · Portland, OR
Provider details
- NPI number
- 1902128804
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Janet Sims, Co-Owner(503) 719-5499
- License
- 4220 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1920 Nw Johnson St
Suite 103
Portland, OR 97209-1325
Phone: (503) 719-5499
Street-level locationGet directions
Mailing address
1920 Nw Johnson St
Portland, OR 97209-1325
Registry dates
- Enumerated
- 2010-02-18
- Last updated
- 2010-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.