VANESSA ABIGAIL CASILLAS PSY.D. - NPI 1235432287

Q: What is Vanessa Casillas's NPI number?

The NPI number for Vanessa Casillas is 1235432287. It was assigned to this individual provider in the NPPES registry on December 14, 2010.

Q: What is Vanessa Casillas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Vanessa Casillas was last updated on October 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Vanessa Abigail Casillas Psy.d. NPPES

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

VANESSA ABIGAIL CASILLAS PSY.D. (NPI 1235432287) is an individual clinical provider in Portland, Oregon, licensed in Oregon (2090) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1235432287

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameVANESSA ABIGAIL CASILLASCredential: PSY.D.

Location Address4920 N INTERSTATE AVEPortland, OR 97217-3653

Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494 · Fax (503) 215-6644

Phone(503) 215-3300

Fax(503) 215-3350

Sole ProprietorNo

Enumeration DateDecember 14, 2010

Last NPPES UpdateOctober 14, 2020

NPPES CertifiedOctober 14, 2020

✔ NPI 1235432287 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 · 2090

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 · Cognitive & BehavioralTaxonomy 103TB0200X · License 2090 (OR)

4920 N INTERSTATE AVE, Portland, OR 97217

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Other Identifiers 1

Medicaid500631879OR

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.

MATTHEW J BREEZE MD

Family Medicine