Active NPI
Sherry Rose Beckmann, PSYCHOLOGIST, EDD
- Psychologist
- Sherwood, OR
National Provider Identifier
1487988846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2797
- Practice address
- 22831 SW Forest Creek Dr Ste B
Sherwood, OR 97140-9604 - Phone
- (503) 625-6559
- Fax
- (541) 871-7851
- NPI assigned
- Oct 1, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2797 | OR | |
| Psychologist | 103T00000X | 2797 | OR | Primary |
Addresses
Primary practice location
22831 SW Forest Creek Dr Ste B
Sherwood, OR 97140-9604
Mailing address
1907 E Haworth Ave
Newberg, OR 97132-1269
Phone (503) 625-6559
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 |
|---|---|---|---|---|
| I20170818001681 | OR | Practitioner - Clinical Psychologist | 4688946031 | Practice locations: Sherwood, OR; Lake Oswego, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4000 Kruse Way PL
Lake Oswego, OR 97035-5545
Phone (503) 625-6559
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2797 | OR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650844800000",
"number": "1487988846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 E HAWORTH AVE",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971321269",
"telephone_number": "503-625-6559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22831 SW FOREST CREEK DR STE B",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971409604",
"telephone_number": "503-625-6559",
"fax_number": "541-871-7851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKMANN",
"first_name": "SHERRY",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "PSYCHOLOGIST, EDD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-01",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "2797",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "2797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherwood, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.