Darien Stephen Fenn, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1083 Issued in OR

Practice address

23540 SW Gage Rd
Wilsonville, OR 97070-9721

Phone

(503) 320-2503

Fax

(503) 928-5582

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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.

• Northwood Health Center, LLC

  • Chiropractor
  • Woodburn, OR
  • NPI 1871990986
  NPD (past)
• Travis Buckmaster L.Ac.,P.C.

  • Acupuncturist
  • Woodburn, OR
  • NPI 1548434715
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511654400000",
    "number": "1164550224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23540 SW GAGE RD",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709721",
            "telephone_number": "503-320-2503",
            "fax_number": "503-928-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23540 SW GAGE RD",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709721",
            "telephone_number": "503-320-2503",
            "fax_number": "503-928-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENN",
        "first_name": "DARIEN",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2017-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Health Northwest, P.C.
• Nicholas Michael Fairall, LMT
• Emery James Fairchild, PTA
• Debra Farr, RPH.,BS PHARM. MTMCP
• Stephen Fekete, D.P.M.
• Cheryl D Ferreira, LCMHC
• Carlos Finnigan
• Elizabeth Ann Fitzgerald, DPT
• Daniel Fleury
• Rebecca Jewell Flowers, COTA/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.