DR. MELISSA FREDETTE PH.D.
NPI 1124323118
Psychologist - Clinical in Portland, OR

Active since January 21, 2011
1235 SE DIVISION ST STE 109, PORTLAND, OR 97202(503) 343-9939(503) 689-8686 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Melissa Fredette Ph.d. NPPES

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

DR. MELISSA FREDETTE PH.D. (NPI 1124323118) is an individual clinical provider in Portland, Oregon, licensed in Oregon (2156) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1124323118
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MELISSA FREDETTECredential: PH.D.
Location Address1235 SE DIVISION ST STE 109Portland, OR 97202-1042
Mailing Address2135 Se Elliott AvePortland, OR 97214-5341 · (503) 396-2638 · Fax (503) 689-8686
Fax(503) 689-8686
Sole ProprietorYes
Enumeration DateJanuary 21, 2011
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
NPI 1124323118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in OR · 2156
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 ListedPsychologistTaxonomy 103T00000X · License 9838 (MA)
1235 SE DIVISION ST STE 109, Portland, OR 97202

Other Identifiers 2

Medicaid164936OR
OtherR0000WDBCHOR · Medicare Group

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124323118, enumerated as an "individual" on January 21, 2011.

The provider is located at 1235 SE DIVISION ST STE 109 PORTLAND, OR 97202 and the phone number is (503) 343-9939.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: BridgeSpan Health Company, Kaiser Permanente,. Please consult your insurance carrier or call the provider to verify.