Arun Wellness and Psychological Services, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ARUN WELLNESS AND PSYCHOLOGICAL SERVICES, LLC

Doing business as

Arun Wellness and Psychological Services, LLC

Practice address

4039 N Mississippi Ave Ste 307
Portland, OR 97227-1477

Phone

(971) 402-9705

NPI assigned

May 27, 2024

Last updated

Jan 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carolyn Alisa Peterson, PHDNPI 1386403863

Title

Licensed Psychologist/Owner

Phone

(971) 402-9705

Specialties & licenses 1

Addresses

Other names 1

• Arun Wellness and Psychological Services, LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carolyn Alisa Peterson, PHD

  • Psychologist
  • Portland, OR
  • NPI 1386403863
  NPD Authorized official

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737763200000",
    "number": "1407696727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4039 N MISSISSIPPI AVE STE 307",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271477",
            "telephone_number": "971-402-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 N MISSISSIPPI AVE STE 307",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271477",
            "telephone_number": "971-402-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUN WELLNESS AND PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-27",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "ALISA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "971-402-9705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arun Wellness and Psychological Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arun Wellness and Psychological Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Amelia Artis, M.D., M.P.H.
• Artist Eye Counseling
• Justin Artoff, CADC I
• Rebecca Artrip
• Cibi Arumugam, M.D.
• Malavika Arun
• Shikha Arun, MD
• Aravind Arunachalam
• Methapan Arunakul, MD
• Adam Nicholas Arvidson

• Adult Mental Health Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Adult Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2025; 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.