DR. MINA DINH NGUYEN-DRIVER (PSY.D.) – Clinical Psychologist, NPI 1376653519
Clinical Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MINA DINH NGUYEN-DRIVER (PSY.D.)
707 SW Gaines St
Portland, OR 97239
Phone: (503) 494-1093
Fax: (503) 494-6868
Type: Location
Child Development Rehabilitation Center, 707, Southwest Gaines Street, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States
PORTLAND, OR 972392901
Phone: (503) 494-1093
Fax: (503) 494-6868
Type: Mailing
PO BOX 251418
LITTLE ROCK, AR 722251418
Phone: (501) 686-8000
Fax: (501) 526-5148
Type: Mailing
2575 GENE GEORGE BLVD STE 100
SPRINGDALE, AR 727623180
Phone: (479) 750-0125
Fax: (479) 750-0323
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-04-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071108000149 | I | Clinical Psychologist | OR | TBD |
| I20220421002678 | I | Clinical Psychologist | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97239)
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