Calle Ann Pierson, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3204 Issued in OR

Practice address

11630 SE 40TH Ave
Milwaukie, OR 97222-6195

Phone

(503) 270-3995

NPI assigned

Sep 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Eisenmann Clinic, LLC

  • Psychologist
  • Beaverton, OR
  • NPI 1689532277
  NPD Authorized official
• NW Intrinsic Psychotherapy

  • Clinical Psychologist
  • Beaverton, OR
  • NPI 1770369480
  NPD (past) Authorized official

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1184092983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 NE SHANNON ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971242163",
            "telephone_number": "503-816-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 SE 40TH AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226195",
            "telephone_number": "503-270-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "CALLE",
        "middle_name": "ANN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "3204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cybele Whitney Phillips, LAC
• Marcy Jean Phillips, OTR/L
• Marissa Kayann Phillips
• Physiotherapy Associates, Inc.
• Cathy Renae Pickett
• Cheyenne Danielle Pieszchalski, PTA
• Ronald Joseph Pigram, PTA
• Eric Joseph Pinkston, QMHP-C, CADC III
• Abraham A Piok
• Julia Pitroski

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; 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.