Individual provider Active NPI

Alyssa M Ramirez, PHD

  • Psychologist
  • Portland, OR
National Provider Identifier
1609353622
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4096-57 Issued in WI
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

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
I20250602000079 OR Practitioner - Clinical Psychologist 8426588179 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4096-57WIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Larsen Sanchez Psychology, LLC CurrentSince Mar 14, 2025 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.

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

Verify at the official NPI Registry.