Active NPI
Abraham Meressa
- Cognitive & Behavioral Psychologist
- Portland, OR
National Provider Identifier
1356103295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- Practice address
- 10354 NE Wasco St
Portland, OR 97220-3927 - Phone
- (503) 572-8705
- NPI assigned
- Jan 26, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | Primary |
Addresses
Primary practice location
10354 NE Wasco St
Portland, OR 97220-3927
Mailing address
10354 NE Wasco St
Portland, OR 97220-3927
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Equitable Health Services | Current | Accepting new patients | |
| Oregon Family Care Home | Current | Accepting new patients |
Locations
10354 NE Wasco St
Portland, OR 97220
Phone (503) 572-8705
Organizations & group practices 2
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.
-
- Licensed Practical Nurse
- Portland, OR
- NPI 1073478483
-
- Foster Care Agency
- Portland, OR
- NPI 1861164337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1356103295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10354 NE WASCO ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972203927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10354 NE WASCO ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972203927",
"telephone_number": "503-572-8705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERESSA",
"first_name": "ABRAHAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-26",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"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 Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.