Individual provider Active NPI

Allison Fries Godwin, PSY.D.

  • Clinical Psychologist
  • Tigard, OR
National Provider Identifier
1407427669
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4170 Issued in OR
Practice address
11845 SW Greenburg Rd Ste 210
Tigard, OR 97223-6464
Phone
(971) 264-0952
NPI assigned
Jul 8, 2021
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810006393 VA
Clinical Psychologist 103TC0700X PSY200001722 DC
Clinical Psychologist 103TC0700X 4170 OR Primary

Addresses

Primary practice location

11845 SW Greenburg Rd Ste 210
Tigard, OR 97223-6464

Mailing address

901 N Brutscher St # D141
Newberg, OR 97132-6096
Phone (971) 264-0879

Other names 1

  • Ms. Allison Elizabeth Fries Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 13, 2025 through Aug 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0810006393VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Sanderson and Associates, LLC PastSince Mar 9, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1407427669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N BRUTSCHER ST # D141",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971326096",
            "telephone_number": "971-264-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11845 SW GREENBURG RD STE 210",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236464",
            "telephone_number": "971-264-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "ALLISON",
        "middle_name": "FRIES",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810006393",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY200001722",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "4170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "FRIES",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.