DR. DEBORAH WISE PH. D.
NPI 1376694554
Psychologist - Clinical in Portland, OR

Q: What is Deborah Wise's NPI number?

The NPI number for Deborah Wise is 1376694554. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Q: What is Deborah Wise's specialty?

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

Q: Is Deborah Wise enrolled in Medicare?

No. Deborah Wise has opted out of Medicare through May 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Deborah Wise was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 15, 2007Opted out of Medicare · through May 6, 2028

1962 NW KEARNEY ST, SUITE 201, PORTLAND, OR 97209(503) 381-1871(503) 222-2136 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Deborah Wise Ph. D. NPPES

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

DR. DEBORAH WISE PH. D. (NPI 1376694554) is an individual clinical provider in Portland, Oregon, licensed in Oregon (1669) and active in the NPI registry since January 2007. She has opted out of Medicare through May 6, 2028.

NPPES Registry Identity

NPI1376694554

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DEBORAH WISECredential: PH. D.

Location Address1962 NW KEARNEY ST, SUITE 201Portland, OR 97209-1400

Mailing Address1962 Nw Kearney St, Suite 201Portland, OR 97209-1400 · (503) 381-1871 · Fax (503) 222-2136

Phone(503) 381-1871

Fax(503) 222-2136

Sole ProprietorYes

Enumeration DateJanuary 15, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1376694554 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 · 1669

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.

1962 NW KEARNEY ST, Portland, OR 97209

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.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. Deborah Wise 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 May 6, 2020 through May 6, 2028.

Opt-Out Effective DateMay 6, 2020

Opt-Out In Effect ThroughMay 6, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

MRS. MARLEN SHIRLEY CONRAD LCSW

Social Worker (Clinical)

1962 NW KEARNEY ST, SUITE 205
PORTLAND, OR 97209

Multnomah County (503) 650-7240

CATHERINE M. GURSKI, ND, LAC.

Naturopath

1962 NW KEARNEY ST, SUITE 102
PORTLAND, OR 97209

Multnomah County (503) 274-4360

DONNA KLEINMAN LCSW

Social Worker (Clinical)

1962 NW KEARNEY ST, SUITE 101
PORTLAND, OR 97209

Multnomah County (503) 525-1144

MRS. MOLLY KATHLEEN PADULO MA

Counselor (Mental Health)

1962 NW KEARNEY ST, SUITE 103
PORTLAND, OR 97209

Multnomah County (503) 358-6945

MR. ROBERT JAMES PICARIELLO MS, LMFT, CADC II

Marriage & Family Therapist

1962 NW KEARNEY ST, #205
PORTLAND, OR 97209

Multnomah County (971) 238-7777

PAUL KOHN PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

1962 NW KEARNEY ST, SUITE 206
PORTLAND, OR 97209

Multnomah County (503) 221-8707

CATHERINE MARIE GURSKI ND MSOM LAC

Naturopath

1962 NW KEARNEY ST, SUITE 102
PORTLAND, OR 97209

Multnomah County (503) 274-4360

MICHAL DENISE DRABANSKI LPC

Counselor (Mental Health)

1962 NW KEARNEY ST, SUITE #204
PORTLAND, OR 97209

Multnomah County (503) 241-7808

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 Deborah Wise's NPI number?

The NPI number for Deborah Wise is 1376694554. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Deborah Wise located?

Deborah Wise practices at 1962 NW Kearney St Suite 201, Portland, OR 97209. The listed phone number is (503) 381-1871.

What is Deborah Wise's specialty?

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

Is Deborah Wise enrolled in Medicare?

No. Deborah Wise has opted out of Medicare through May 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Deborah Wise accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Deborah Wise 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 Deborah Wise was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.