Individual provider Active NPI

Carol B. Markovics, PH.D.

  • Clinical Psychologist
  • Tualatin, OR
National Provider Identifier
1851518344
Registry record updated Apr 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1948 Issued in OR
Practice address
8050 SW Warm Springs St
Suite 130
Tualatin, OR 97062-7424
Phone
(503) 563-5280
NPI assigned
Apr 19, 2007
Last updated
Apr 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 005058 NY
Psychologist 103T00000X 1948 OR
Clinical Psychologist 103TC0700X 1948 OR Primary
Clinical Child & Adolescent Psychologist 103TC2200X 1948 OR
Behavior Analyst 103K00000X 1948 OR

Addresses

Primary practice location

8050 SW Warm Springs St
Suite 130
Tualatin, OR 97062-7424

Mailing address

8050 SW Warm Springs St
Suite 130
Tualatin, OR 97062-7424
Phone (503) 563-5280

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230620000042 OR Practitioner - Clinical Psychologist 2769554757 Practice locations: Tualatin, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7770 SW Mohawk St
Tualatin, OR 97062-9191
Phone (585) 317-4987

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1948ORMDClinical Social Worker

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491004800000",
    "number": "1851518344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 SW WARM SPRINGS ST",
            "address_2": "SUITE 130",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627424",
            "telephone_number": "503-563-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 SW WARM SPRINGS ST",
            "address_2": "SUITE 130",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627424",
            "telephone_number": "503-563-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOVICS",
        "first_name": "CAROL",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2017-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "005058",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1948",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1948",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OR",
            "license": "1948",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "1948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

Verify at the official NPI Registry.