npidexNPI registry + Medicare data

AMY REISS, PH.D.

Clinical Child & Adolescent Psychologist · PORTLAND, OR

Individual Active Opted out of Medicare NPI 1912039439

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Clinical Child & Adolescent Psychologist103TC2200X✓1499OR
Clinical Psychologist103TC0700X1499OR

Medicare eligibility

Part B
Yes
DME
Yes
Home health
No
Power mobility
No
Hospice
No

Opted out of Medicare (Clinical Psychologist), effective 2017-12-15 through 2027-12-15.

Other Clinical Child & Adolescent Psychologist providers in Oregon

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.