DR. KRISTEN HEATHER MARCALY (NPI# 1780815811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780815811 |
| Entity Type | Individual |
| Full Name | DR. KRISTEN HEATHER MARCALY |
| Credential | PSYD |
| Practice Address |
14025 Sw Farmington Rd Ste 160 Beaverton OR 97005 |
| Mailing Address |
11035 Ne Sandy Blvd Portland OR 97220-2553 |
| Practice Telephone | 5032584495 |
| Mailing Telephone | 5032584200 |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2018-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2780 | OR | Behavioral Health & Social Service Providers |
| Street Address |
14025 SW FARMINGTON RD STE 160 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184261935 | Lizzet Del Carmen Cervantes Pantoja | Counselor | 14025 Sw Farmington Rd Ste 160, Beaverton, OR 97005-2512 | 2019-11-27 |
| 1013565167 | Kelly Mcgreal | Counselor | 14025 Sw Farmington Rd Ste 160, Beaverton, OR 97005-2512 | 2019-09-02 |
| 1942852470 | Anna Justine Bauer | Counselor | 14025 Sw Farmington Rd Ste 160, Beaverton, OR 97005-2512 | 2019-07-15 |
| 1962060129 | Rebecca Witowski | Counselor | 14025 Sw Farmington Rd Ste 160, Beaverton, OR 97005-2512 | 2019-06-03 |
| 1023578242 | Elissa Shinseki | Counselor | 14025 Sw Farmington Rd Ste 160, Beaverton, OR 97005-2512 | 2019-03-22 |
| 1982040283 | Kimberly Alexandra Romo | Marriage & Family Therapist | 14025 Sw Farmington Rd Ste 160, Beaverton, OR 97005-2512 | 2013-05-14 |
| 1609165125 | Lyndsey Hromatka | Social Worker | 14025 Sw Farmington Rd Ste 160, Beaverton, OR 97005-2512 | 2011-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437286986 | Jennifer Alida Felker-thayer | Psychologist | 4900 Sw Griffith Dr, Suite 235, Beaverton, OR 97005-5607 | 2007-02-28 |
| 1235131632 | Metropolitan Pediatrics, LLC | Psychologist | 15455 Nw Greenbrier Pkwy, Ste 111, Beaverton, OR 97006-7374 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912530643 | Positive Development for Youth and Families, Inc. | Psychologist | 4531 Se Belmont St Ste 110, Portland, OR 97215-1675 | 2020-02-21 |
| 1467819631 | Megan Nichols | Psychologist | 2734 Se 29th Ave, Apt B, Portland, OR 97202-1381 | 2016-01-19 |
| 1699161745 | Nvw Newco | Psychologist | 160 Scalehouse Loop, Suite 160, Bend, OR 97702-1284 | 2015-04-15 |
| 1538412549 | Daniel Kriz | Psychologist | Ne 2542 Courtney Drive, Bend, OR 97701 | 2012-10-16 |
| 1891043360 | Margaret Arnold Stoeckel | Psychologist | 5041 Se Taylor St, Portland, OR 97215-2624 | 2012-08-15 |
| 1629305545 | Cynthia Marie Anderson | Psychologist | 2085 Sunrise Blvd, Eugene, OR 97405-5524 | 2009-11-13 |
| 1851532139 | Charlene Eickholt | Psychologist | 1405 Ne Broadway, Suite # 200, Portland, OR 97232-1497 | 2009-03-16 |
| 1497904924 | Ian Alexander Shinney | Psychologist | 2611 Erin Way, Eugene, OR 97408-4713 | 2008-09-09 |
| 1316092349 | Whitney Vail | Psychologist | 2450 Strong Rd Se, Salem, OR 97302-9676 | 2007-01-23 |
| 1215081716 | Holly Linn Crossen | Psychologist | 1130 Sw Morrison St Ste 618, Portland, OR 97205-2217 | 2007-01-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.