Transitions Professional Center

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

TRANSITIONS PROFESSIONAL CENTER

Practice address

6514 SE 42ND Ave
Portland, OR 97206-7702

Phone

(503) 972-7090

Fax

(833) 527-3447

NPI assigned

Oct 3, 2013

Last updated

May 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Louise MarascoNPI 1295137693

Title

Owner/Cofounder

Phone

(503) 972-7090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Tax ID family

Transitions Professional Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Transitions Professional Center

  • Psychologist
  • Portland, OR
  • NPI 1093126674
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Louise Ellen Marasco, PH.D.

  • Clinical Psychologist
  • Portland, OR
  • NPI 1295137693
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1578990685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 SE WOODSTOCK BLVD # 411",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066267",
            "telephone_number": "503-972-7090",
            "fax_number": "833-527-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6514 SE 42ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972067702",
            "telephone_number": "503-972-7090",
            "fax_number": "833-527-3447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3735 SW River Pkwy",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972394560",
            "country_code": "US",
            "telephone_number": "503-972-7090",
            "fax_number": "503-972-7093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRANSITIONS PROFESSIONAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "MARASCO",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER/COFOUNDER",
        "authorized_official_telephone_number": "503-972-7090"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Taryn Traughber, OTD
• Trauma Specialists, LLP

• Clinical Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.