Active NPI
Landon Michaels, PSY.D.
- Psychologist
- Portland, OR
National Provider Identifier
1033526421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2645 | OR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Landon Michaels Psychological Services, LLC | Current | Accepting new patients | |
| Portland DBT Institute, Inc. | Current | 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.
-
- Cognitive & Behavioral Psychologist
- Portland, OR
- NPI 1073853966
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukie, OR
- NPI 1902594054
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.