Melissa Marquardt, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3213 Issued in OR

Practice address

2130 SW Jefferson St Ste 300
Portland, OR 97201-7711

Phone

(541) 543-4446

NPI assigned

Aug 4, 2014

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

Other names 1

• Melissa Yockelson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Behavioral Neuropsychology LLC

  • Clinical Child & Adolescent Psychologist
  • Portland, OR
  • NPI 1851054266
  NPD (past)

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1962811935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 SW JEFFERSON ST STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972017711",
            "telephone_number": "541-543-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 SW JEFFERSON ST STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972017711",
            "telephone_number": "541-543-4446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "687 Cheshire Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974025060",
            "country_code": "US",
            "telephone_number": "541-343-2993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 University of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "541-543-4446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARQUARDT",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "3213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "YOCKELSON",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dahlia Josephine Maroney
• Angela Marie Maroon, RPH
• Brianna Maroukis
• Kelsey L Marple, MA, NCC
• Christopher Marquardt, NCC
• Grant Marquart, MD
• Hayley Marques
• Honey E.L. Marques, PA
• Zunamy Marques, MS
• Jonathan Marquett, OD

• Clinical Psychologist in Portland, OR
• Providers in Portland, 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 20, 2020; 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.