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KATHERINE VERSENYI WILD PHD
NPI 1477569929
Psychologist - Clinical in Portland, OR

Active since August 01, 2006
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-7772 Get Directions Write a Review

NPPES record last updated: March 22, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katherine Versenyi Wild Phd NPPES

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

KATHERINE VERSENYI WILD PHD (NPI 1477569929) is an individual clinical provider in Portland, Oregon, licensed in Oregon (1058) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1477569929
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKATHERINE VERSENYI WILDCredential: PHD
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address626 Ne Mirimar PlPortland, OR 97232-2541
Phone(503) 494-7772
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateMarch 22, 2010
✔ NPI 1477569929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OR · 1058
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.
Also ListedPsychologistTaxonomy 103T00000X · License 1058 (OR)
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
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Other Identifiers 2

Medicaid117965OR
Medicare UPINS25699

Other Providers at the Same Location NPPES 20

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

DONALD RICHARD SULLIVAN MD
Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Multnomah County (503) 494-6949
MRS. ANJALEE NIX ROWE NP
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-3988
REEM HASAN MD
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Multnomah County (503) 494-8562
DR. AMANDA D BALL PSY.D
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
SUNSHINE WELSCH LMT
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Multnomah County (503) 494-8349
DR. ROBERT GENE MEALER M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
GREGORY HALL MD
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 418-0990
DR. BURHAN AHMED MIAN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-8311

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 Katherine Wild's NPI number?

The NPI number for Katherine Wild is 1477569929. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Katherine Wild located?

Katherine Wild practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-7772.

What is Katherine Wild's specialty?

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

When was this NPI record last updated?

The NPPES record for Katherine Wild was last updated on March 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.