Active NPI
Alyssa M Ramirez, PHD
- Psychologist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4096-57
- Practice address
- 3050 SE Division St Ste 215
Portland, OR 97202-1997 - Phone
- (503) 622-8964
- NPI assigned
- Jul 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3768 | OR | |
| Psychologist | 103T00000X | 4096-57 | WI | Primary |
Addresses
Primary practice location
3050 SE Division St Ste 215
Portland, OR 97202-1997
Mailing address
3050 SE Division St Ste 215
Portland, OR 97202-1997
Phone (503) 622-8964
Other practice location 1
815 Forward Dr
Madison, WI 53711-2443
Phone (608) 268-6530
Other names 1
- Alyssa M Ramirez Stege
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4096-57 | WI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larsen Sanchez Psychology, LLC | Current | Accepting new patients | |
| Pacific University | Past | Accepting new patients |
Locations
905 SE 14th Ave
Portland, OR 97214
Phone (503) 622-8964
1717 NE 42nd Ave
Portland, OR 97213
Phone (503) 622-8964
3050 SE Division St
Ste 215
Portland, OR 97202
Phone (503) 622-8964
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Portland, OR
- NPI 1588041388
-
- Adult Mental Health Clinic/Center
- Hillsboro, OR
- NPI 1700256989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1609353622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 SE DIVISION ST STE 215",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021997",
"telephone_number": "503-622-8964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 SE DIVISION ST STE 215",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021997",
"telephone_number": "503-622-8964"
}
],
"practiceLocations": [
{
"address_1": "815 Forward Dr",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537112443",
"country_code": "US",
"telephone_number": "608-268-6530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMIREZ",
"first_name": "ALYSSA",
"middle_name": "M",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-23",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "3768",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "4096-57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "RAMIREZ STEGE",
"middle_name": "M",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.