Norman L Thiesen, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1676 Issued in OR

Practice address

6400 SE Lake Rd Ste 325
Milwaukie, OR 97222-2185

Phone

(503) 786-1711

Fax

(503) 786-9919

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Cornerstone Clinical Services PC

  • Community/Behavioral Health Agency
  • Milwaukie, OR
  • NPI 1093892895
  NPD (past)
• Cornerstone Clinical Services, Inc

  • Community/Behavioral Health Agency
  • Lawton, OK
  • NPI 1184786238
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548285695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SE LAKE RD STE 325",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222185",
            "telephone_number": "503-786-1711",
            "fax_number": "503-786-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 SE LAKE RD STE 325",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222185",
            "telephone_number": "503-786-1711",
            "fax_number": "503-786-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIESEN",
        "first_name": "NORMAN",
        "middle_name": "L",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Grounding Touch
• The Oregon Hemorrhoid Clinic
• The Spark of Life Chiropractic & Wellness
• Amy Theppote, DPM
• Bryan D Thieme, PSYD
• Thomas D. Cardwell, DMD, PC
• Brittney Thomas, LCSW
• Christopher Owen Thomas, M.D.
• Miki Thomas, PHYSICAL THERAPIST
• Andrea Faith Thompson, L.M.T.

• Psychologist in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Psychologist in Oregon

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.