Individual provider Active NPI

Claudia Ellen Kritz, PH.D.

  • Clinical Psychologist
  • Portland, OR
National Provider Identifier
1699497768
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1289 Issued in OR
Practice address
3318 SW Fairmount Blvd
Portland, OR 97239-1476
Phone
(503) 260-5029
NPI assigned
Sep 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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 1289 OR Primary

Addresses

Primary practice location

3318 SW Fairmount Blvd
Portland, OR 97239-1476

Mailing address

3318 SW Fairmount Blvd
Portland, OR 97239-1476
Phone (503) 260-5029

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
I20230504001438 OR Practitioner - Clinical Psychologist 4981069598 Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10200 SW Eastridge St
Suite 101
Portland, OR 97225-5031
Phone (503) 260-5029

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Akots and Frederick PC Past Accepting new patients

Organizations & group practices 1

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": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1699497768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 SW FAIRMOUNT BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972391476",
            "telephone_number": "503-260-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 SW FAIRMOUNT BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972391476",
            "telephone_number": "503-260-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRITZ",
        "first_name": "CLAUDIA",
        "middle_name": "ELLEN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.