Active NPI
Oak & Fern Psychotherapy
- Clinical Psychologist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- OAK & FERN PSYCHOTHERAPY
- Practice address
- 9500 SW Barbur Blvd Ste 110
Portland, OR 97219-5425 - Phone
- (503) 884-6921
- NPI assigned
- Jul 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicholas Schollars, PSYD.
- Title
- Psychologist
- Phone
- (503) 884-6921
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
9500 SW Barbur Blvd Ste 110
Portland, OR 97219-5425
Mailing address
9500 SW Barbur Blvd Ste 110
Portland, OR 97219-5425
Phone (503) 910-6379
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60054 | Other | OR | AETNA |
National Provider Directory
National Provider DirectoryLocations
5 Centerpointe Dr
Ste 400
Lake Oswego, OR 97035
Phone (503) 784-3489
9500 SW Barbur Blvd
Ste 110
Portland, OR 97219
Phone (503) 884-6921
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Portland, OR
- NPI 1184281438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731974400000",
"number": "1104662055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 SW BARBUR BLVD STE 110",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972195425",
"telephone_number": "503-910-6379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 SW BARBUR BLVD STE 110",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972195425",
"telephone_number": "503-884-6921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAK & FERN PSYCHOTHERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-01",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A",
"authorized_official_last_name": "SCHOLLARS",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "503-884-6921",
"authorized_official_credential": "PSYD."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "60054",
"state": "OR"
}
],
"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 Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.