Jessica Kieras, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2198 Issued in OR

Practice address

19800 Village Office CT Ste 205
Bend, OR 97702-1813

Phone

(458) 206-3579

Fax

(844) 603-7385

NPI assigned

Sep 7, 2007

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

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

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.

• Center for Family Development, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Eugene, OR
  • NPI 1538150388
  NPD (past)

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1134314735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19800 VILLAGE OFFICE CT STE 205",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021813",
            "telephone_number": "458-206-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19800 VILLAGE OFFICE CT STE 205",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021813",
            "telephone_number": "458-206-3579",
            "fax_number": "844-603-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERAS",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "2198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross Christopher Keys, DC
• Kiana Kurzynowski LPC LLC
• Naveed Kiany
• Lindsey Allen Kicinski
• Kids Intervention & Diagnostic Service Center, Inc.
• Daniel Kikkert, QMHP
• Kasia Kilijanek, PT, DPT
• Keith Killam, LMT
• Kristin Killoran, LPCI
• Kilter Rehabilitation and Performance

• Psychologist in Bend, OR
• Providers in Bend, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.

Verify at the official NPI Registry.