Individual provider Active NPI

Arianna Gerry, PH.D.

  • Clinical Psychologist
  • Portland, OR
National Provider Identifier
1801299094
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3207 Issued in OR
Practice address
3735 SW River Pkwy
Portland, OR 97239-4560
Phone
(503) 972-7090
NPI assigned
Oct 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY26422 CA
Clinical Psychologist 103TC0700X 3207 OR Primary

Addresses

Primary practice location

3735 SW River Pkwy
Portland, OR 97239-4560

Mailing address

3735 SW River Pkwy
Portland, OR 97239-4560
Phone (503) 972-7090

Other practice location 1

401 Quarry Rd
2330
Palo Alto, CA 94305-5718
Phone (650) 723-2744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2023 through Apr 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY26422CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Professional Center CurrentSince May 17, 2020 Accepting new patients

Locations

3735 S River Pkwy
Portland, OR 97239
Phone (503) 972-7090

4207 SE Woodstock Blvd
Portland, OR 97206
Phone (503) 312-6005

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": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1801299094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 SW RIVER PKWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394560",
            "telephone_number": "503-972-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 SW RIVER PKWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394560",
            "telephone_number": "503-972-7090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Quarry Rd",
            "address_2": "2330",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943055718",
            "country_code": "US",
            "telephone_number": "650-723-2744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERRY",
        "first_name": "ARIANNA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26422",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "3207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.