Active NPI
Normund J Akots, PHD, MS
- Clinical Psychologist
- Portland, OR
National Provider Identifier
1477534360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1031
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043427 | Medicaid | OR |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PY00001545 | WA | MD | Clinical Psychologist |
| 1031 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akots and Frederick PC | Multi-Specialty | Past | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.