Active NPI
Jane M Plagge, PSY.D.
- Clinical Psychologist
- Portland, OR
National Provider Identifier
1780882027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY 60141821
- Practice address
- 3537 N Williams Ave Ste 201
Portland, OR 97227-1437 - Phone
- (503) 446-1253
- Fax
- (503) 446-1293
- NPI assigned
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY 60141821 | WA | Primary |
Addresses
Primary practice location
3537 N Williams Ave Ste 201
Portland, OR 97227-1437
Mailing address
5922 N Haight Ave
Portland, OR 97217-2114
Phone (503) 446-1253
Other practice location 1
3710 SW US Veterans Hospital Rd # P3Mhadm
Portland, OR 97239-2964
Phone (503) 220-8262 ext. 52141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 21, 2024 through Oct 21, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 60141821 | WA | MD | Clinical Psychologist |
| 2137 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578009600000",
"number": "1780882027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5922 N HAIGHT AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972172114",
"telephone_number": "503-446-1253",
"fax_number": "503-446-1293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3537 N WILLIAMS AVE STE 201",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271437",
"telephone_number": "503-446-1253",
"fax_number": "503-446-1293"
}
],
"practiceLocations": [
{
"address_1": "3710 SW US Veterans Hospital Rd # P3Mhadm",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972392964",
"country_code": "US",
"telephone_number": "503-220-8262 x52141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PLAGGE",
"first_name": "JANE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-09",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY 60141821",
"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 Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.