Individual provider Active NPI

Katherine Ann Calouri, PH.D.

  • Cognitive & Behavioral Psychologist
  • Beaverton, OR
National Provider Identifier
1972877983
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Practice address
2360 SW 170TH Ave
Beaverton, OR 97006-4345
Phone
(503) 356-8334
Fax
(503) 356-8726
NPI assigned
Mar 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3012 OR
Cognitive & Behavioral Psychologist 103TB0200X Primary

Addresses

Primary practice location

2360 SW 170TH Ave
Beaverton, OR 97006-4345

Mailing address

3800 SW 185TH Avenue
#6192
Beaverton, OR 97078-6192
Phone (503) 739-5775

Other practice location 1

10190 NE Siskiyou St
Hillsboro, OR 97006-2937
Phone (503) 888-3938

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

State licenses

LicenseStateTypeSpecialty
3012ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Psychology, LLC CurrentSince Oct 1, 2023 Accepting new patients
Project Pace, Inc. Past Accepting new patients

Locations

3800 SW 185th Ave
#6192
Beaverton, OR 97078

Organizations & group practices 2

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": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1972877983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 SW 185TH AVENUE",
            "address_2": "#6192",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970786192",
            "telephone_number": "503-739-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 SW 170TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064345",
            "telephone_number": "503-356-8334",
            "fax_number": "503-356-8726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10190 NE Siskiyou St",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "970062937",
            "country_code": "US",
            "telephone_number": "503-888-3938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALOURI",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "3012",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.