Individual provider Active NPI

Sarah Caitlin Nelson, PHD

  • Psychologist
  • Portland, OR
National Provider Identifier
1932790896
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3336 Issued in OR
Practice address
3439 SE Hawthorne Blvd # 1114
Portland, OR 97214-5048
Phone
(503) 433-3443
NPI assigned
Feb 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3336 OR Primary

Addresses

Primary practice location

3439 SE Hawthorne Blvd # 1114
Portland, OR 97214-5048

Mailing address

1311 SE 53Rd Ave
Portland, OR 97215-2648
Phone (503) 433-3443

Other names 1

  • Sarah Caitlin Morrison-Cohen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Rose and Fern Counseling LLC CurrentSince Feb 7, 2021 Accepting new patients

Locations

2705 E Burnside St
Ste 206
Portland, OR 97214
Phone (503) 319-9553

3439 SE Hawthorne Blvd
Portland, OR 97214
Phone (503) 270-3086

501 SW 10th Ave
Ste 604
Portland, OR 97205

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": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1932790896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 SE 53RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972152648",
            "telephone_number": "503-433-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3439 SE HAWTHORNE BLVD # 1114",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145048",
            "telephone_number": "503-433-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SARAH",
        "middle_name": "CAITLIN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "3336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "MORRISON-COHEN",
            "middle_name": "CAITLIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.