Active NPI
Amy W Stoeber, PHD
- Clinical Child & Adolescent Psychologist
- Clackamas, OR
National Provider Identifier
1447317193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 1667
- Practice address
- 10001 SE Sunnyside Rd Ste 140
Clackamas, OR 97015-5746 - Phone
- (503) 653-5205
- Fax
- (503) 653-5219
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 1667 | OR | Primary |
Addresses
Primary practice location
10001 SE Sunnyside Rd Ste 140
Clackamas, OR 97015-5746
Mailing address
10001 SE Sunnyside Rd Ste 140
Clackamas, OR 97015-5746
Phone (503) 653-5205
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1667 | OR | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447317193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10001 SE SUNNYSIDE RD STE 140",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155746",
"telephone_number": "503-653-5205",
"fax_number": "503-653-5219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10001 SE SUNNYSIDE RD STE 140",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155746",
"telephone_number": "503-653-5205",
"fax_number": "503-653-5219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOEBER",
"first_name": "AMY",
"middle_name": "W",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "OR",
"license": "1667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.