Katy O'Bannon

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

525671 Issued in OR

Practice address

911 SW 21St Ave Apt 303
Portland, OR 97205-1567

Phone

(936) 581-2841

NPI assigned

Jul 7, 2022

Sex

Female

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": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1649903592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 SW 21ST AVE APT 303",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051567",
            "telephone_number": "936-581-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 SW 21ST AVE APT 303",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051567",
            "telephone_number": "936-581-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BANNON",
        "first_name": "KATY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OR",
            "license": "525671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katy.obannon@presencelearning.com",
            "affiliation": "N",
            "endpointDescription": "Protected email account",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "911 SW 21st Ave Apt 303",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972051567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yarley Nystrom, L.M.T.
• Taylor Nyulassy
• Steve Nzele
• Nelly Merveille Nzokou Nkenfack
• Myong Penny O, CSWA
• Katherine Eileen O'Bar, RD
• Megan O'Bara
• Kit B O'Boyle, RN, BSN, MSW, LCSW
• Alyssa Marie O'Brien, RD
• Ashley O'Brien, QMHA

• School Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• School Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.