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JACQUELINE ROBIN O'BRIEN PHD
NPI 1144735127
Psychologist - Clinical in Portland, OR

Active since December 12, 2017PECOS Enrolled
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(800) 452-3563(503) 494-4447 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 19, 2025, Oct 8, 2024, Dec 12, 2017 (3 updates tracked since 2017).

About Jacqueline Robin O'brien Phd NPPES

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

JACQUELINE ROBIN O'BRIEN PHD (NPI 1144735127) is an individual clinical provider in Portland, Oregon, licensed in Oregon (3842) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1144735127
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJACQUELINE ROBIN O'BRIENCredential: PHD
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (800) 452-3563 · Fax (503) 494-4447
Phone(800) 452-3563
Fax(503) 494-4447
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 12, 2017
Last NPPES UpdateFebruary 19, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1144735127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OR · 3842
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.
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
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Secondary Practice Location 1

Location 1707 SW Gaines StPortland, OR 97239-2901 · Phone (503) 494-3818

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Robin O'brien Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557899184
PECOS Enrollment IDI20260310001253
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline O'brien reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Association Of Chmc And University Physicians
146 mi
Orthopaedic Trauma
325 9TH AVE
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: The Association Of Chrmc And University Physicians
  • 1,443 clinicians in this Medicare group
NPI 1215153671 (206) 731-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DONALD RICHARD SULLIVAN MD
Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Multnomah County (503) 494-6949
MRS. ANJALEE NIX ROWE NP
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-3988
REEM HASAN MD
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Multnomah County (503) 494-8562
DR. AMANDA D BALL PSY.D
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
SUNSHINE WELSCH LMT
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Multnomah County (503) 494-8349
DR. ROBERT GENE MEALER M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
GREGORY HALL MD
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 418-0990
DR. BURHAN AHMED MIAN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-8311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline O'brien's NPI number?

The NPI number for Jacqueline O'brien is 1144735127. It was assigned to this individual provider in the NPPES registry on December 12, 2017.

Where is Jacqueline O'brien located?

Jacqueline O'brien practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (800) 452-3563.

What is Jacqueline O'brien's specialty?

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

Is Jacqueline O'brien enrolled in Medicare?

Yes. Jacqueline O'brien is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline O'brien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline O'brien reassigns Medicare benefits to Association Of Chmc And University Physicians (Seattle, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline O'brien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline O'brien accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Jacqueline O'brien as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline O'brien was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.