Active NPI
Arianna Gerry, PH.D.
- Clinical Psychologist
- Portland, OR
National Provider Identifier
1801299094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3207
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY26422 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transitions Professional Center | Current | 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.
-
- Psychologist
- Portland, OR
- NPI 1093126674
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.