Cynthia Lynne Arnold, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1620 Issued in OR

Practice address

200 SW Market St Ste 390
Portland, OR 97201-5731

Phone

(503) 274-0996

NPI assigned

Aug 3, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• New Leaves Clinic LLC

  • Psychologist
  • Portland, OR
  • NPI 1649475641
  NPD (past) Authorized official

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124036660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20796 SW GRACIE ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970061574",
            "telephone_number": "503-274-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SW MARKET ST STE 390",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015731",
            "telephone_number": "503-274-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "CYNTHIA",
        "middle_name": "LYNNE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269872",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arnold L Petersen II MD PC
• Gretchen Arnold Metzler, RN
• Breanna Arnold
• Brittany N Arnold, MD
• Celeste Arnold
• Darcie Marie Arnold
• Deborah Lynn Arnold, MD
• Engraver Arnold
• Erica Christine Arnold
• Erin Arnold

• Clinical Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.