Individual provider Active NPI

Robyn Ashley Dolson, PHD

  • Clinical Psychologist
  • Portland, OR
National Provider Identifier
1679236491
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3926 Issued in OR
Practice address
923 NE Couch St
Portland, OR 97232-2926
Phone
(503) 542-7635
NPI assigned
Oct 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3926 OR Primary

Addresses

Primary practice location

923 NE Couch St
Portland, OR 97232-2926

Mailing address

32 NE 11TH Ave
Portland, OR 97232-3001
Phone (423) 251-3205

Other practice location 1

32 NE 11th Ave
Portland, OR 97232-3001
Phone (503) 542-7635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3926ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
NW Anxiety Institute, LLC Mental Health CurrentSince Sep 1, 2023 Accepting new patients
Medical Education Assistance Corporation PastSince Oct 1, 2021 Accepting new patients
Medical Education Assistance Corporation PastSince Oct 1, 2021 Accepting new patients

Locations

32 NE 11th Ave
Portland, OR 97232
Phone (503) 542-7635

Organizations & group practices 3

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": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1679236491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 NE 11TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323001",
            "telephone_number": "423-251-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 NE COUCH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322926",
            "telephone_number": "503-542-7635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 NE 11th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972323001",
            "country_code": "US",
            "telephone_number": "503-542-7635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLSON",
        "first_name": "ROBYN",
        "middle_name": "ASHLEY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "3926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 31, 2024; 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.