Individual provider Active NPI

Landon Michaels, PSY.D.

  • Psychologist
  • Portland, OR
National Provider Identifier
1033526421
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
3432 S Kelly Ave
Portland, OR 97239-4630
Phone
(971) 258-2328
Fax
(971) 254-1988
NPI assigned
Jul 17, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary
Clinical Psychologist 103TC0700X 2645 OR

Addresses

Primary practice location

3432 S Kelly Ave
Portland, OR 97239-4630

Mailing address

6708 SE Plum Dr
Milwaukie, OR 97222-2012
Phone (804) 814-9176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160203002990 OR Practitioner - Clinical Psychologist 5890099337 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2645ORMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Landon Michaels Psychological Services, LLC CurrentSince Apr 30, 2023 Accepting new patients
Portland DBT Institute, Inc. CurrentSince Jan 1, 2016 Accepting new patients

Locations

5200 S Macadam Ave
Ste 580
Portland, OR 97239
Phone (503) 231-7854

5100 S Macadam Ave
Ste 350
Portland, OR 97239
Phone (503) 231-7854

454 17th St NE
Salem, OR 97301
Phone (503) 231-7854

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1033526421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6708 SE PLUM DR",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222012",
            "telephone_number": "804-814-9176",
            "fax_number": "971-254-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 S KELLY AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394630",
            "telephone_number": "971-258-2328",
            "fax_number": "971-254-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELS",
        "first_name": "LANDON",
        "name_prefix": "Mr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-17",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2645",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.