Teresa Marie Andreoli, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3018 Issued in OR

Practice address

9400 SW Beaverton Hillsdale Hwy Ste 205
Beaverton, OR 97005-3349

Phone

(503) 684-7246

NPI assigned

Oct 28, 2019

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Occupational Medicine Center Inc.

  • Multi-Specialty Clinic/Center
  • Beaverton, OR
  • NPI 1407882772
  NPD

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1649813148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 NE 60TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134021",
            "telephone_number": "805-453-5576",
            "fax_number": "971-867-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 SW BEAVERTON HILLSDALE HWY STE 205",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053349",
            "telephone_number": "503-684-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREOLI",
        "first_name": "TERESA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "3018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cnickoloff@nwomc.com",
            "affiliation": "Y",
            "endpointDescription": "Northwest Occupational Medicine Center, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medical Information",
            "address_1": "9400 SW Beaverton Hillsdale Hwy Ste 205",
            "city": "Beaverton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970053349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Marie Anderson
• Scott H Anderson, OD
• Tovi Marit Anderson, M.D., PH.D.
• Bryan Andrade, LMT
• Jessica Andre, LCSW
• Andrew Murison (Mend Integrative Medicine)
• Susan Patricia Anduaga Bocanegra, MD
• Gianna Andujo
• Skye Anfield, MA, LPC-A, CADC I
• Selena Angel

• 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 Nov 27, 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.