Individual provider Active NPI

Monica Froman-Reid, PH.D

  • Psychologist
  • Hillsboro, OR
National Provider Identifier
1578949608
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2638 Issued in OR
Practice address
21210 NW Mauzey Rd
Hillsboro, OR 97124-9327
Phone
(503) 233-5405
NPI assigned
Jul 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2638 OR Primary

Addresses

Primary practice location

21210 NW Mauzey Rd
Hillsboro, OR 97124-9327

Mailing address

21210 NW Mauzey Rd
Hillsboro, OR 97124-9327

Other identifiers 2

IdentifierTypeStateIssuer
0000WDBCHOtherORMEDICARE
164936MedicaidOR

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
I20160105002958 OR Practitioner - Clinical Psychologist 6608178835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

18765 SW Boones Ferry Rd
Suite 100
Tualatin, OR 97062-8607
Phone (503) 612-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2638ORMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC CurrentSince Dec 1, 2015 Accepting new patients
Western Psychological and Counseling Services LLC CurrentSince Dec 1, 2015 Accepting new patients
Western Psychological and Counseling Services PC Past Accepting new patients

Locations

890 82nd Dr
Gladstone, OR 97027
Phone (503) 659-5515

880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494

870 82nd Dr
Gladstone, OR 97027
Phone (503) 272-8031

1700 NW Civic Dr
Ste 310
Gresham, OR 97030
Phone (503) 666-8832

10151 SE Sunnyside Rd
Ste 480
Happy Valley, OR 97015
Phone (503) 739-8321

8280 NE Mauzey Ct
Hillsboro, OR 97124
Phone (503) 439-9531

21210 NW Mauzey Rd
Hillsboro, OR 97124
Phone (503) 439-9531

5 Centerpointe Dr
Ste 320
Lake Oswego, OR 97035
Phone (971) 200-5635

3500 NE Mlk Jr Blvd
Ste 200
Portland, OR 97212
Phone (503) 327-8205

18765 SW Boones Ferry Rd
Ste 100
Tualatin, OR 97062
Phone (503) 612-1000

1750 Blankenship Rd
Ste 400
West Linn, OR 97068
Phone (503) 659-5515

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.monicafromanreid@148835.advancedmd-direct.com

Organizations & group practices 3

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": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1578949608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21210 NW MAUZEY RD",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21210 NW MAUZEY RD",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249327",
            "telephone_number": "503-233-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROMAN-REID",
        "first_name": "MONICA",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2024-05-16",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "2638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0000WDBCH",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164936",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.