ALYSSA MICHELLE NOLDE PSYD
NPI 1447621834
Psychologist - Clinical in Portland, OR

Q: What is Alyssa Nolde's NPI number?

The NPI number for Alyssa Nolde is 1447621834. It was assigned to this individual provider in the NPPES registry on October 12, 2015.

Q: What is Alyssa Nolde's specialty?

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

Q: Is Alyssa Nolde enrolled in Medicare?

No. Alyssa Nolde has opted out of Medicare through February 14, 2027. 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 Alyssa Nolde was last updated on May 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 October 12, 2015Opted out of Medicare · through Feb 14, 2027

610 SW BROADWAY STE 306, PORTLAND, OR 97205(503) 926-5298 Get Directions Write a Review

NPPES record last updated: May 28, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2019, Mar 17, 2018 (2 updates tracked since 2018).

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About Alyssa Michelle Nolde Psyd NPPES

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

ALYSSA MICHELLE NOLDE PSYD (NPI 1447621834) is an individual clinical provider in Portland, Oregon, licensed in Oregon (3043) and active in the NPI registry since October 2015. She has opted out of Medicare through February 14, 2027.

NPPES Registry Identity

NPI1447621834

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameALYSSA MICHELLE NOLDECredential: PSYD

Location Address610 SW BROADWAY STE 306Portland, OR 97205-3404

Mailing Address6880 N Seneca StPortland, OR 97203-2538 · (915) 525-9655

Phone(503) 926-5298

Sole ProprietorYes

Enumeration DateOctober 12, 2015

Last NPPES UpdateMay 28, 20192 updates tracked since enumeration

✔ NPI 1447621834 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 · 3043

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.

610 SW BROADWAY STE 306, Portland, OR 97205

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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

Alyssa Michelle Nolde Psyd 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 February 14, 2023 through February 14, 2027.

Opt-Out Effective DateFebruary 14, 2023

Opt-Out In Effect ThroughFebruary 14, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

DR. ANGELINE L WHITELAW PSY.D.

Psychologist (Clinical)

610 SW BROADWAY STE 306
PORTLAND, OR 97205

Multnomah County (503) 828-1065

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 Alyssa Nolde's NPI number?

The NPI number for Alyssa Nolde is 1447621834. It was assigned to this individual provider in the NPPES registry on October 12, 2015.

Where is Alyssa Nolde located?

Alyssa Nolde practices at 610 SW Broadway Ste 306, Portland, OR 97205. The listed phone number is (503) 926-5298.

What is Alyssa Nolde's specialty?

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

Is Alyssa Nolde enrolled in Medicare?

No. Alyssa Nolde has opted out of Medicare through February 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Alyssa Nolde accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Alyssa Nolde 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 Alyssa Nolde was last updated on May 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.