Organization Active NPI

Ackerman Psychological Services LLC

  • Clinical Psychologist
  • Scappoose, OR
National Provider Identifier
1992682314
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ACKERMAN PSYCHOLOGICAL SERVICES LLC
Practice address
51579 Columbia River Hwy Ste I
Scappoose, OR 97056-8411
Phone
(971) 352-1601
Fax
(503) 543-6040
NPI assigned
Aug 18, 2025
Last updated
Aug 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Chloe Leanora Ackerman, PSYDNPI 1568720928
Title
President
Phone
(971) 352-1601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

51579 Columbia River Hwy Ste I
Scappoose, OR 97056-8411

Mailing address

2000 NE 42ND Ave Ste D2021
Portland, OR 97213-1399
Phone (971) 352-1601

National Provider Directory

National Provider Directory

Locations

2000 NE 42nd Ave
Ste D2021
Portland, OR 97213

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1992682314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NE 42ND AVE STE D2021",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131399",
            "telephone_number": "971-352-1601",
            "fax_number": "503-543-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51579 COLUMBIA RIVER HWY STE I",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970568411",
            "telephone_number": "971-352-1601",
            "fax_number": "503-543-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACKERMAN PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "CHLOE",
        "authorized_official_middle_name": "LEANORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "971-352-1601",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scappoose, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.