Active NPI
Katherine Ann Calouri, PH.D.
- Cognitive & Behavioral Psychologist
- Beaverton, OR
National Provider Identifier
1972877983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3012 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve Psychology, LLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hillsboro, OR
- NPI 1457130841
-
- Developmentally Disabled Services Day Training Agency
- Beaverton, OR
- NPI 1982977641
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.