Debra R Applebaum, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1119 Issued in OR

Practice address

9 Monroe Pkwy
Ste 280
Lake Oswego, OR 97035-8867

Phone

(503) 635-8710

Fax

(503) 635-0583

NPI assigned

Nov 20, 2006

Last updated

Jan 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Crossroads Inc.

  dba Karen Eggers

  • Clinical Social Worker
  • Lake Oswego, OR
  • NPI 1225446891
  NPD (past)
• Kendra J. Summers, PHD

  • Clinical Psychologist
  • Lake Oswego, OR
  • NPI 1346525300
  NPD (past)
• Ricks Warren PH.D., Abpp, PC

  • Clinical Psychologist
  • Lake Oswego, OR
  • NPI 1205023645
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1811061260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MONROE PKWY",
            "address_2": "STE 280",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358867",
            "telephone_number": "503-635-8710",
            "fax_number": "503-635-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MONROE PKWY",
            "address_2": "STE 280",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358867",
            "telephone_number": "503-635-8710",
            "fax_number": "503-635-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLEBAUM",
        "first_name": "DEBRA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Andrasz
• Christina Andreas
• Haakon Kuhnle Andresen, DC
• Ryan Anest
• Concetta Marie Antonelli, L.M.T.
• Apricity Counseling & Consultation, LLC
• Samantha Arcediano, PA-C
• Jennie-Marie Evanka Archambault, DC
• Valencia Arciniega, LMT
• Armworks Hand Therapy, LLC

• Clinical Psychologist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.