Individual provider Active NPI

Katherine Raineri, PSYD

  • Clinical Psychologist
  • Portland, OR
National Provider Identifier
1154973139
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3077 Issued in OR
Practice address
7972 SE 13TH Ave Ste 101
Portland, OR 97202-6677
Phone
(503) 489-8864
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3077 OR
Clinical Psychologist 103TC0700X 3077 OR Primary

Addresses

Primary practice location

7972 SE 13TH Ave Ste 101
Portland, OR 97202-6677

Mailing address

7972 SE 13TH Ave Ste 101
Portland, OR 97202-6677
Phone (503) 489-8864

Other practice location 1

7213 SW Hazel Fern Rd
Tigard, OR 97224
Phone (503) 214-2064

Other practice location 2

891 23rd St NE
Salem, OR 97301-1793
Phone (503) 364-2181

Other practice location 3

7213 SW Hazel Fern Rd
Tigard, OR 97224
Phone (503) 214-2064

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3077ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Pediatrics, LLC PastSince Oct 1, 2019 Accepting new patients

Organizations & group practices 1

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": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1154973139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7972 SE 13TH AVE STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026677",
            "telephone_number": "503-489-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7972 SE 13TH AVE STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026677",
            "telephone_number": "503-489-8864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7213 SW Hazel Fern Rd",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "97224",
            "country_code": "US",
            "telephone_number": "503-214-2064",
            "fax_number": "503-598-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "891 23rd St NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973011793",
            "country_code": "US",
            "telephone_number": "503-364-2181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7213 SW Hazel Fern Rd",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "97224",
            "country_code": "US",
            "telephone_number": "503-214-2064",
            "fax_number": "503-598-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAINERI",
        "first_name": "KATHERINE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "3077",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "3077",
            "primary": true
        }
    ],
    "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 Oct 24, 2023; 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.