Eric Jay Oglesbee, PSYD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

1692 Issued in OR

Practice address

830 NE 47TH Ave
Portland, OR 97213-2212

Phone

(503) 215-2233

NPI assigned

Dec 6, 2005

Last updated

Nov 2, 2023By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1588648224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "503-215-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 NE 47TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132212",
            "telephone_number": "503-215-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLESBEE",
        "first_name": "ERIC",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OR",
            "license": "1692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SAFE",
            "affiliation": "N",
            "endpointDescription": "Safe Access File Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "https://safe.amrdec.army.mil/safe/guide.aspx",
            "address_1": "18MDG Unit 5268",
            "city": "APO",
            "state": "AP",
            "country_code": "US",
            "postal_code": "963685142",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "other_names": []
}

• Tatsuro Ogisu, M.D.
• Amanda D Ogle, LCSW
• Chris Ogle
• David J Ogle, M.D.
• Megan Ogle, PSY.D.
• Brooks Llewellyn Oglesby-Junk, ARNP, PMHNP-BC
• Donna Oglesby
• Douglas Wayne Oglesby I, CRM
• Karen Oglesby, RN
• Shelane Oglesby, ND

• Clinical Child & Adolescent Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Child & Adolescent Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.