ZACHARY THOMAS STINE PSYD
NPI 1194363945
Psychologist in Milwaukie, OR

Active since December 11, 2019Accepts Medicare Assignment
6400 SE LAKE RD STE 325, MILWAUKIE, OR 97222(503) 786-1711(503) 786-9919 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 24, 2024, Dec 11, 2019 (2 updates tracked since 2019).

About Zachary Thomas Stine Psyd NPPES

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

ZACHARY THOMAS STINE PSYD (NPI 1194363945) is an individual psychologist in Milwaukie, Oregon, licensed in Oregon (3796) and active in the NPI registry since December 2019. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1194363945
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameZACHARY THOMAS STINECredential: PSYD
Location Address6400 SE LAKE RD STE 325Milwaukie, OR 97222-2185
Mailing Address6400 Se Lake Rd Ste 325Milwaukie, OR 97222-2185 · (503) 786-1711 · Fax (503) 786-9919
Fax(503) 786-9919
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 11, 2019
Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
NPI 1194363945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OR · 3796
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
6400 SE LAKE RD STE 325, Milwaukie, OR 97222

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Zachary Thomas Stine Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880125541
PECOS Enrollment IDI20241004001995

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.

Community/Behavioral Health
6400 SE LAKE RD STE 325
MILWAUKIE, OR 97222
Psychologist (Clinical)
6400 SE LAKE RD STE 325
MILWAUKIE, OR 97222
Nurse Practitioner (Psychiatric/Mental Health)
6400 SE LAKE RD STE 325
MILWAUKIE, OR 97222
Psychiatry & Neurology (Psychiatry)
6400 SE LAKE RD STE 325
MILWAUKIE, OR 97222
Psychologist
6400 SE LAKE RD STE 325
MILWAUKIE, OR 97222
Psychologist
6400 SE LAKE RD STE 325
MILWAUKIE, OR 97222
Psychologist
6400 SE LAKE RD STE 325
MILWAUKIE, OR 97222
Psychologist (Clinical Child & Adolescent)
6400 SE LAKE RD STE 325
MILWAUKIE, OR 97222

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 Zachary Stine's NPI number?

The NPI number for Zachary Stine is 1194363945. It was assigned to this individual provider in the NPPES registry on December 11, 2019.

Where is Zachary Stine located?

Zachary Stine practices at 6400 SE Lake Rd Ste 325, Milwaukie, OR 97222. The listed phone number is (503) 786-1711.

What is Zachary Stine's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Zachary Stine enrolled in Medicare?

Yes. Zachary Stine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Zachary Stine accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Zachary Stine 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 Zachary Stine was last updated on September 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.