Individual provider Active NPI

Normund J Akots, PHD, MS

  • Clinical Psychologist
  • Portland, OR
National Provider Identifier
1477534360
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1031 Issued in OR
Practice address
10200 SW Eastridge St.
Ste 101
Portland, OR 97225-5064
Phone
(503) 292-9183
Fax
(503) 292-9280
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PY00001545 WA
Clinical Psychologist 103TC0700X 1031 OR Primary

Addresses

Primary practice location

10200 SW Eastridge St.
Ste 101
Portland, OR 97225-5064

Mailing address

10200 SW Eastridge St.
Ste 101
Portland, OR 97225-5064
Phone (503) 292-9183

Other identifiers 1

IdentifierTypeStateIssuer
043427MedicaidOR

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
I20040506000827 OR Practitioner - Clinical Psychologist 1759379902 Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10200 SW Eastridge St
Portland, OR 97225-5031
Phone (503) 292-9183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY00001545WAMDClinical Psychologist
1031ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Akots and Frederick PC Multi-Specialty PastSince May 5, 2004 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1477534360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 SW EASTRIDGE ST.",
            "address_2": "STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255064",
            "telephone_number": "503-292-9183",
            "fax_number": "503-292-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 SW EASTRIDGE ST.",
            "address_2": "STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255064",
            "telephone_number": "503-292-9183",
            "fax_number": "503-292-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKOTS",
        "first_name": "NORMUND",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00001545",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043427",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.