Active NPI
Tamara Kay Jesme, PSY.D.
- Clinical Psychologist
- Portland, OR
National Provider Identifier
1164642203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1687
- Practice address
- 975 SE Sandy Blvd Ste 160
Portland, OR 97214-2498 - Phone
- (503) 805-9392
- NPI assigned
- Apr 30, 2007
- Last updated
- Mar 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1687 | OR | Primary |
Addresses
Primary practice location
975 SE Sandy Blvd Ste 160
Portland, OR 97214-2498
Mailing address
975 SE Sandy Blvd Ste 160
Portland, OR 97214-2498
Phone (503) 805-9392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 24, 2025 through Feb 24, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1687 | OR | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583625600000",
"number": "1164642203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 SE SANDY BLVD STE 160",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972142498",
"telephone_number": "503-805-9392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 SE SANDY BLVD STE 160",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972142498",
"telephone_number": "503-805-9392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JESME",
"first_name": "TAMARA",
"middle_name": "KAY",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-30",
"last_updated": "2020-03-08",
"certification_date": "2020-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "1687",
"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 Mar 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.