DR. JULIE A SHAFER PHD
NPI 1194738013
Psychologist - Health Service in Portland, OR

Active since August 14, 2006Opted out of Medicare · through Jan 1, 2028
3407 S CORBETT AVE, PORTLAND, OR 97239(503) 757-3863 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2022, Feb 7, 2019 (2 updates tracked since 2019).

About Dr. Julie A Shafer Phd NPPES

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

DR. JULIE A SHAFER PHD (NPI 1194738013) is an individual health service provider in Portland, Oregon, licensed in Oregon (1663) and active in the NPI registry since August 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194738013
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameDR. JULIE A SHAFERCredential: PHD
Location Address3407 S CORBETT AVEPortland, OR 97239-4621
Mailing Address3860 Se Naef Rd # 68477Portland, OR 97267-5623 · (503) 757-3863 · Fax (503) 345-6829
Sole ProprietorYes
Enumeration DateAugust 14, 2006
Last NPPES UpdateMay 6, 20222 updates tracked since enumeration
NPPES CertifiedMay 6, 2022
NPI 1194738013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License Licensed in OR · 1663
Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

3407 S CORBETT AVE, Portland, OR 97239

Accepted Insurance

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. Julie A Shafer 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 January 1, 2014 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2014
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 14

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

Marriage & Family Therapist
3407 S CORBETT AVE
PORTLAND, OR 97239
Psychiatry & Neurology (Psychiatry)
3407 S CORBETT AVE
PORTLAND, OR 97239
Counselor (Professional)
3407 S CORBETT AVE
PORTLAND, OR 97239
Counselor (Professional)
3407 S CORBETT AVE
PORTLAND, OR 97239
Psychologist (Clinical)
3407 S CORBETT AVE
PORTLAND, OR 97239
Social Worker (Clinical)
3407 S CORBETT AVE
PORTLAND, OR 97239
Psychologist (Clinical)
3407 S CORBETT AVE
PORTLAND, OR 97239
Nurse Practitioner (Psychiatric/Mental Health)
3407 S CORBETT AVE
PORTLAND, OR 97239

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 Julie Shafer's NPI number?

The NPI number for Julie Shafer is 1194738013. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Julie Shafer located?

Julie Shafer practices at 3407 S Corbett Ave, Portland, OR 97239. The listed phone number is (503) 757-3863.

What is Julie Shafer's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Julie Shafer enrolled in Medicare?

No. Julie Shafer has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Julie Shafer accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Julie Shafer 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 Julie Shafer was last updated on May 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.