DR. EMILY CATHERINE STASKO MPH, PHD
NPI 1093373631
Psychologist - Clinical in Portland, OR

Q: What is Emily Stasko's NPI number?

The NPI number for Emily Stasko is 1093373631. It was assigned to this individual provider in the NPPES registry on May 29, 2019.

Q: What is Emily Stasko's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Emily Stasko enrolled in Medicare?

No. Emily Stasko has opted out of Medicare through November 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Emily Stasko was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 29, 2019Opted out of Medicare · through Nov 20, 2027

3700 N WILLIAMS AVE, PORTLAND, OR 97227(503) 281-4852 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Emily Catherine Stasko Mph, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EMILY CATHERINE STASKO MPH, PHD (NPI 1093373631) is an individual clinical provider in Portland, Oregon, licensed in Oregon (3175) and active in the NPI registry since May 2019. She has opted out of Medicare through November 20, 2027.

NPPES Registry Identity

NPI1093373631

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. EMILY CATHERINE STASKOCredential: MPH, PHD

Location Address3700 N WILLIAMS AVEPortland, OR 97227-1441

Mailing Address1950 Nw Raleigh St Apt 201Portland, OR 97209-1775 · (215) 827-9878

Phone(503) 281-4852

Sole ProprietorNo

Enumeration DateMay 29, 2019

Last NPPES UpdateJanuary 17, 2025

NPPES CertifiedJanuary 17, 2025

✔ NPI 1093373631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in OR · 3175✔ Licensed in OR · TBD

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologist · HealthTaxonomy 103TH0004X · License TBD (OR)

Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License TBD (OR)

3700 N WILLIAMS AVE, Portland, OR 97227

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Emily Catherine Stasko Mph, Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 20, 2025 through November 20, 2027.

Opt-Out Effective DateNovember 20, 2025

Opt-Out In Effect ThroughNovember 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHAY JUNIPER KELLY PH.D.

Counselor (Mental Health)