DR. CAROLYN ALISA PETERSON PHD
NPI 1386403863
Psychologist in Portland, OR
About Dr. Carolyn Alisa Peterson Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CAROLYN ALISA PETERSON PHD (NPI 1386403863) is an individual psychologist in Portland, Oregon, licensed in Oregon (3197) and active in the NPI registry since March 2024. She has opted out of Medicare through August 5, 2028.
NPPES Registry Identity
Specialties & Licenses
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
Dr. Carolyn Alisa Peterson Phd 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 August 5, 2024 through August 5, 2028.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97227
PORTLAND, OR 97227
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 Carolyn Peterson's NPI number?
The NPI number for Carolyn Peterson is 1386403863. It was assigned to this individual provider in the NPPES registry on March 18, 2024.
Where is Carolyn Peterson located?
Carolyn Peterson practices at 4039 N Mississippi Ave Ste 307, Portland, OR 97227. The listed phone number is (971) 402-9705.
What is Carolyn Peterson's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Carolyn Peterson enrolled in Medicare?
No. Carolyn Peterson has opted out of Medicare through August 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Carolyn Peterson accept?
Health plans from PacificSource Health Plans list Carolyn Peterson 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 Carolyn Peterson was last updated on January 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.