DR. SUSAN KATHLEEN GLINKA PSY.D.
NPI 1326588708
Psychologist - Clinical in Portland, OR

Active since March 03, 2017PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
4104 SE 82ND AVE STE 250, PORTLAND, OR 97266(503) 215-9850 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 5, 2025, Oct 20, 2020, Mar 3, 2017 (3 updates tracked since 2017).

About Dr. Susan Kathleen Glinka Psy.d. NPPES

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

DR. SUSAN KATHLEEN GLINKA PSY.D. (NPI 1326588708) is an individual clinical provider in Portland, Oregon, licensed in Oregon (2845) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tigard, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1326588708
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SUSAN KATHLEEN GLINKACredential: PSY.D.
Location Address4104 SE 82ND AVE STE 250Portland, OR 97266-2954
Mailing AddressPo Box 3158Portland, OR 97208-3158
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 3, 2017
Last NPPES UpdateMay 5, 20253 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
NPI 1326588708 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 · 2845
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.

4104 SE 82ND AVE STE 250, Portland, OR 97266

Secondary Practice Location 1

Location 118040 SW Lower Boones Ferry Rd, Suite 304Tigard, OR 97224-7258 · Phone (503) 216-0700

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

Dr. Susan Kathleen Glinka Psy.d. 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 ID2264708007
PECOS Enrollment IDI20171024001615
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97266 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

Other Providers at the Same Location NPPES 10

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

Family Medicine
4104 SE 82ND AVE STE 250
PORTLAND, OR 97266
Physician Assistant
4104 SE 82ND AVE STE 250
PORTLAND, OR 97266
Family Medicine
4104 SE 82ND AVE STE 250
PORTLAND, OR 97266
Family Medicine
4104 SE 82ND AVE STE 250
PORTLAND, OR 97266
Family Medicine
4104 SE 82ND AVE STE 250
PORTLAND, OR 97266
Family Medicine
4104 SE 82ND AVE STE 250
PORTLAND, OR 97266
Family Medicine
4104 SE 82ND AVE STE 250
PORTLAND, OR 97266
Family Medicine
4104 SE 82ND AVE STE 250
PORTLAND, OR 97266

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326588708, enumerated as an "individual" on March 03, 2017.

The provider is located at 4104 SE 82ND AVE STE 250 PORTLAND, OR 97266 and the phone number is (503) 215-9850.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.