KATHLEEN R GILLIS PSY.D.
NPI 1326268715
Psychologist - Clinical in Portland, OR

Active since April 26, 2007Opted out of Medicare · through Sep 19, 2026
2929 SW MULTNOMAH BLVD, SUITE 208, PORTLAND, OR 97219(503) 477-8214(503) 477-8213 Get Directions Write a Review

NPPES record last updated: March 16, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathleen R Gillis Psy.d. NPPES

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

KATHLEEN R GILLIS PSY.D. (NPI 1326268715) is an individual clinical provider in Portland, Oregon, licensed in Oregon (1753) and active in the NPI registry since April 2007. She has opted out of Medicare through September 19, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1326268715
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKATHLEEN R GILLISCredential: PSY.D.
Location Address2929 SW MULTNOMAH BLVD, SUITE 208Portland, OR 97219-4025
Mailing Address2929 Sw Multnomah Blvd, Suite 208Portland, OR 97219-4025 · (503) 477-8214 · Fax (503) 477-8213
Fax(503) 477-8213
Sole ProprietorYes
Enumeration DateApril 26, 2007
Last NPPES UpdateMarch 16, 2009
NPI 1326268715 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 · 1753
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.
2929 SW MULTNOMAH BLVD, Portland, OR 97219

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

Kathleen R Gillis Psy.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 September 19, 2024 through September 19, 2026.

Opt-Out Effective DateSeptember 19, 2024
Opt-Out In Effect ThroughSeptember 19, 2026Opt-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97219 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 11

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

Psychologist (Clinical)
2929 SW MULTNOMAH BLVD, SUITE 303
PORTLAND, OR 97219
Psychologist (Clinical)
2929 SW MULTNOMAH BLVD, STE 202
PORTLAND, OR 97219
Nurse Practitioner (Psychiatric/Mental Health)
2929 SW MULTNOMAH BLVD, SUITE 203A
PORTLAND, OR 97219
Nurse Practitioner (Psychiatric/Mental Health)
2929 SW MULTNOMAH BLVD, STE 208
PORTLAND, OR 97219
Massage Therapist
2929 SW MULTNOMAH BLVD, 308
PORTLAND, OR 97219
Counselor (Professional)
2929 SW MULTNOMAH BLVD, SUITE 304
PORTLAND, OR 97219
Naturopath
2929 SW MULTNOMAH BLVD, SUITE 302
PORTLAND, OR 97219
Counselor (Professional)
2929 SW MULTNOMAH BLVD, #103
PORTLAND, OR 97219

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 Kathleen Gillis's NPI number?

The NPI number for Kathleen Gillis is 1326268715. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Kathleen Gillis located?

Kathleen Gillis practices at 2929 SW Multnomah Blvd Suite 208, Portland, OR 97219. The listed phone number is (503) 477-8214.

What is Kathleen Gillis's specialty?

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

Is Kathleen Gillis enrolled in Medicare?

No. Kathleen Gillis has opted out of Medicare through September 19, 2026. 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 Kathleen Gillis accept?

Health plans from PacificSource Health Plans list Kathleen Gillis 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 Kathleen Gillis was last updated on March 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.