Donald W Swan, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1308 Issued in OR

Practice address

4900 SW Griffith Dr
Ste 161
Beaverton, OR 97005-5607

Phone

(503) 641-4546

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

Yes

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Swan Psychological and Counseling Services PC

  • Psychologist
  • Beaverton, OR
  • NPI 1962837591
  NPD

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609090901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SW GRIFFITH DR",
            "address_2": "STE 161",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970055607",
            "telephone_number": "503-641-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SW GRIFFITH DR",
            "address_2": "STE 161",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970055607",
            "telephone_number": "503-641-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAN",
        "first_name": "DONALD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surafel RTH LLC
• Surgical Assistant Services, Inc.
• Susan Metcalfe LCSW LLC
• Hannah Sinclair Suydam
• Swan Psychological and Counseling Services PC
• Shayna Swan, LMT
• Kim Raymond Swartz, M.D.
• Christina Swayne, EFDA
• Sherry L Sweeney, CPNP
• Carol Swope

• Clinical Psychologist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Clinical 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.