Individual provider Active NPI

Aaron William Lewis, PSY.D

  • Psychologist
  • Lake Oswego, OR
National Provider Identifier
1104129519
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
OR 2117 Issued in OR
Practice address
9 Monroe Pkwy Ste 280
Lake Oswego, OR 97035-8867
Phone
(503) 567-9587
Fax
(503) 635-8411
NPI assigned
Dec 8, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X OR 2117 OR Primary

Addresses

Primary practice location

9 Monroe Pkwy Ste 280
Lake Oswego, OR 97035-8867

Mailing address

9 Monroe Pkwy Ste 280
Lake Oswego, OR 97035-8867
Phone (503) 567-9587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OR 2117ORMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Crossroads Inc. Past Accepting new patients
Cornerstone Clinical Services PC PastSince May 1, 2004 Accepting new patients
Cornerstone Clinical Services, Inc Past Accepting new patients
Kendra J. Summers, PHD Past Accepting new patients

Organizations & group practices 4

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": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1104129519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MONROE PKWY STE 280",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358867",
            "telephone_number": "503-567-9587",
            "fax_number": "503-635-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MONROE PKWY STE 280",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358867",
            "telephone_number": "503-567-9587",
            "fax_number": "503-635-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "AARON",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-08",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "OR 2117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.