Mollie Pleetanino, M.A.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6630 Issued in NC

Practice address

1604 SW Clay St
Apt 424
Portland, OR 97201-8501

Phone

(610) 451-6121

NPI assigned

Jul 28, 2015

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 NC

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Aether Interventional Psychiatry, PC

  • Psychiatry Physician
  • Asheville, NC
  • NPI 1225863517
  Medicare reassignment NPD

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1326423666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 SW CLAY ST",
            "address_2": "APT 424",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972018501",
            "telephone_number": "610-451-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 SW CLAY ST",
            "address_2": "APT 424",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972018501",
            "telephone_number": "610-451-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEETANINO",
        "first_name": "MOLLIE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "6630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plaza Ambulatory Surgery Center LLC
• Breann Pleasant
• Jonathan Clayton Pleasant
• Kyle Pleasant, LMT
• Latonia Marie Pleasant
• Gabriela Pleitez
• Gheorghe Emanuel Plesiu, MD
• Janos Zoltan Plesko, R.N.
• Rebecca Vera Pless
• Robin Plies, SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.