Individual provider Active NPI

Chelsea Maclane, PSY.D.

  • Psychologist
  • Portland, OR
National Provider Identifier
1548590581
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1885 Issued in OR
Practice address
520 SW Yamhill St
Suite 1015
Portland, OR 97204-1335
Phone
(503) 320-3196
NPI assigned
Jan 13, 2010
Last updated
Jan 13, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1885 OR Primary

Addresses

Primary practice location

520 SW Yamhill St
Suite 1015
Portland, OR 97204-1335

Mailing address

PO Box 82434
Portland, OR 97282-0434

Medicare participation

Medicare enrollment files
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 Oct 31, 2023 through Oct 31, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1885ORMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1548590581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82434",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972820434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SW YAMHILL ST",
            "address_2": "SUITE 1015",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041335",
            "telephone_number": "503-320-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLANE",
        "first_name": "CHELSEA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.