Keeya Prairie, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3769 Issued in OR

Practice address

520 E 4TH St
Hood River, OR 97031-2327

Phone

(541) 386-6380

NPI assigned

Jul 29, 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

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

Specialty

Clinical Psychologist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

One Community HealthGroup PAC ID 6305759283, 51 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• One Community Health

  • Federally Qualified Health Center (FQHC)
  • Hood River, OR
  • NPI 1851385918
  Medicare reassignment Care Compare group NPD
• One Community Health

  • Community/Retail Pharmacy
  • The Dalles, OR
  • NPI 1104666064
  NPD

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1760118970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3539 DOUGLAS DR N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554222415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E 4TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970312327",
            "telephone_number": "541-386-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAIRIE",
        "first_name": "KEEYA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "3769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edith Seyl Polson, OTR/L
• Hayden Porter, LMT
• Jessica Porter, MD
• David Poulsen, MD
• Marleigh Poulsen
• Kevin Prates, D.D.S.
• Sarah J Prates, PHARMD
• Randolph E Price
• Providence Health & Services - Oregon
• Providence Health & Services Oregon

• Psychologist in Hood River, OR
• Providers in Hood River, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.