Nellie Cichon, CADC 1

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

License

14-04-02 Issued in OR

Practice address

8202 N Denver Ave
Portland, OR 97217-6624

Phone

(503) 285-3200

Fax

(503) 245-6263

NPI assigned

Jul 31, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1003224205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 SW BARBUR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195915",
            "telephone_number": "503-245-6262",
            "fax_number": "503-245-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 N DENVER AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972176624",
            "telephone_number": "503-285-3200",
            "fax_number": "503-245-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICHON",
        "first_name": "NELLIE",
        "name_prefix": "Mrs.",
        "credential": "CADC 1",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "OR",
            "license": "14-04-02",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Diane Ciarlante
• Angelina Marie Ciavarella, PT
• David P Ciaverella, DO
• Gabriel Eric Ciccone
• Melissa Ann Cicelske, RPH
• Jennifer Cichosz
• Shawn Amara Cichosz
• Sara Cichowski
• Eva Cicilian, ADVANCE PRACTICE RN
• Erik Cid

• Group Psychotherapy Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Group Psychotherapy Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.