DR. JAMES MATTHEW MOL PH.D.
NPI 1255755898
Psychologist in Clackamas, OR

Active since February 18, 2014Opted out of Medicare · through Dec 5, 2027
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 571-6505 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Matthew Mol Ph.d. NPPES

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

DR. JAMES MATTHEW MOL PH.D. (NPI 1255755898) is an individual psychologist in Clackamas, Oregon, licensed in Oregon (1423) and active in the NPI registry since February 2014. He has opted out of Medicare through December 5, 2027.

NPPES Registry Identity

NPI1255755898
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JAMES MATTHEW MOLCredential: PH.D.
Location Address10180 SE SUNNYSIDE RDClackamas, OR 97015-8970
Mailing Address3210 Ne Shaver StPortland, OR 97212-1747 · (503) 284-1316
Sole ProprietorYes
Enumeration DateFebruary 18, 2014
Last NPPES UpdateDecember 29, 2021
NPPES CertifiedDecember 29, 2021
NPI 1255755898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in OR · 1423 Licensed in CA · 12706
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.
10180 SE SUNNYSIDE RD, Clackamas, OR 97015

Other Identifiers 1

MedicaidPSY12706031CA

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. James Matthew Mol Ph.d. 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 December 5, 2023 through December 5, 2027.

Opt-Out Effective DateDecember 5, 2023
Opt-Out In Effect ThroughDecember 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Internal Medicine
10180 SE SUNNYSIDE RD, KAISER PERMANENTE DEPARTMENT OF INTERNAL MEDICINE
CLACKAMAS, OR 97015
Emergency Medicine
10180 SE SUNNYSIDE RD, KAISER SUNNYSIDE MEDICAL CENTER
CLACKAMAS, OR 97015
Anesthesiology
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Nurse Anesthetist, Certified Registered
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Nurse Anesthetist, Certified Registered
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Nurse Anesthetist, Certified Registered
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Radiology (Diagnostic Radiology)
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Psychiatry & Neurology (Neurology)
10180 SE SUNNYSIDE RD, DEPT OF NEUROLOGY, CLINIC C
CLACKAMAS, OR 97015

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 James Mol's NPI number?

The NPI number for James Mol is 1255755898. It was assigned to this individual provider in the NPPES registry on February 18, 2014.

Where is James Mol located?

James Mol practices at 10180 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 571-6505.

What is James Mol's specialty?

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

Is James Mol enrolled in Medicare?

No. James Mol has opted out of Medicare through December 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for James Mol was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.