Individual provider Active NPI

Rebekah Jeanette Ratzlaff, PSYD

  • Clinical Psychologist
  • Hillsboro, OR
National Provider Identifier
1366793093
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2382 Issued in OR
Practice address
222 SE 8TH Ave Ste 212
Hillsboro, OR 97123-4218
Phone
(503) 352-7333
Fax
(971) 266-2956
NPI assigned
Sep 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2382 OR Primary

Addresses

Primary practice location

222 SE 8TH Ave Ste 212
Hillsboro, OR 97123-4218

Mailing address

1901 Esther St
Newberg, OR 97132-9529
Phone (800) 333-3712

Other practice location 1

1901 Esther St
Newberg, OR 97132-9529
Phone (800) 333-3712

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150728006142 OR Practitioner - Clinical Psychologist 8527372051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific UniversityGroup PAC ID 0345144705, 30 clinicians

Practice addresses (Care Compare)

222 SE 8TH Ave
Hillsboro, OR 97123-4218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2382ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fanno Creek Clinic LLC CurrentSince Jan 1, 2022 Accepting new patients
Pacific University CurrentSince Jan 1, 2021 Accepting new patients
Pacific University Current Accepting new patients
Pacific University CurrentSince Jan 1, 2021 Accepting new patients
Pacific University PastSince Feb 18, 2024 Accepting new patients

Locations

2043 College Way
Forest Grove, OR 97116
Phone (503) 352-2020

222 SE 8th Ave
#212
Hillsboro, OR 97123
Phone 5033522400 ext. 8060

705 SE Baseline St
Ste 206
Hillsboro, OR 97123
Phone (503) 352-6416

2400 SW Vermont St
Portland, OR 97219
Phone (503) 452-0915

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1366793093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 ESTHER ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971329529",
            "telephone_number": "800-333-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SE 8TH AVE STE 212",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234218",
            "telephone_number": "503-352-7333",
            "fax_number": "971-266-2956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Esther St",
            "address_purpose": "LOCATION",
            "city": "Newberg",
            "state": "OR",
            "postal_code": "971329529",
            "country_code": "US",
            "telephone_number": "800-333-3712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATZLAFF",
        "first_name": "REBEKAH",
        "middle_name": "JEANETTE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.