Active NPI
Tamara Lynn Hoogestraat, PSY.D., M.B.A.
- Clinical Psychologist
- West Linn, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1967
- Practice address
- 21900 Willamette Dr Ste 120
West Linn, OR 97068-3280 - Phone
- (503) 653-0631
- Fax
- (503) 653-1464
- NPI assigned
- Sep 4, 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 | 1967 | OR | Primary |
Addresses
Primary practice location
21900 Willamette Dr Ste 120
West Linn, OR 97068-3280
Mailing address
21900 Willamette Dr Ste 120
West Linn, OR 97068-3280
Phone (503) 653-0631
Other practice location 1
8440 SE Sunnybrook Blvd
Suite 120
Clackamas, OR 97015-5780
Phone (503) 653-0631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1967 | Other | OR | LICENSE |
Other names 1
- Tami Hoogestraat
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
21900 Willamette Dr
Suite 202
West Linn, OR 97068-3284
Phone (503) 653-0631
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1967 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sundstrom Clinical Services LLC | Current | Accepting new patients |
Locations
8440 SE Sunnybrook Blvd
Ste 120
Clackamas, OR 97015
Phone (503) 653-0631
21900 Willamette Dr
Ste 202
West Linn, OR 97068
Phone (503) 653-0631
Interoperability endpoints
- tamara.hoogestraat.1@32989.direct.athenahealth.com
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
- West Linn, OR
- NPI 1669508412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1871787754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21900 WILLAMETTE DR STE 120",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970683280",
"telephone_number": "503-653-0631",
"fax_number": "503-653-1464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21900 WILLAMETTE DR STE 120",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970683280",
"telephone_number": "503-653-0631",
"fax_number": "503-653-1464"
}
],
"practiceLocations": [
{
"address_1": "8440 SE Sunnybrook Blvd",
"address_2": "Suite 120",
"address_purpose": "LOCATION",
"city": "Clackamas",
"state": "OR",
"postal_code": "970155780",
"country_code": "US",
"telephone_number": "503-653-0631",
"fax_number": "503-653-1464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOOGESTRAAT",
"first_name": "TAMARA",
"middle_name": "LYNN",
"credential": "PSY.D., M.B.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-04",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "1967",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "1967",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TAMI",
"last_name": "HOOGESTRAAT",
"credential": "M.A., M.B.A.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in West Linn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.