MRS. JESSICA MICHELLE SIMONETTI PH.D.
NPI 1508466574
Psychologist in Portland, OR

Active since October 29, 2020Opted out of Medicare · through Oct 29, 2026
PORTLAND PSYCHOTHERAPY CLINIC, RESEARCH AND TRAINING CE, 3700 N WILLIAMS AVE, PORTLAND, OR 97227(503) 281-4852(503) 575-3711 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Jessica Michelle Simonetti Ph.d. NPPES

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

MRS. JESSICA MICHELLE SIMONETTI PH.D. (NPI 1508466574) is an individual psychologist in Portland, Oregon, licensed in Oregon (3254) and active in the NPI registry since October 2020. She has opted out of Medicare through October 29, 2026.

NPPES Registry Identity

NPI1508466574
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMRS. JESSICA MICHELLE SIMONETTICredential: PH.D.
Location AddressPORTLAND PSYCHOTHERAPY CLINIC, RESEARCH AND TRAINING CE, 3700 N WILLIAMS AVEPortland, OR 97227
Mailing AddressPortland Psychotherapy Clinic, Research And Training Ce, 3700 N Williams AvePortland, OR 97227 · (503) 281-4852 · Fax (503) 575-3711
Fax(503) 575-3711
Sole ProprietorNo
Enumeration DateOctober 29, 2020
NPPES CertifiedOctober 29, 2020
NPI 1508466574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OR · 3254
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

PORTLAND PSYCHOTHERAPY CLINIC, RESEARCH AND TRAINING CE, Portland, OR 97227

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mrs. Jessica Michelle Simonetti 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 October 29, 2020 through October 29, 2026.

Opt-Out Effective DateOctober 29, 2020
Opt-Out In Effect ThroughOctober 29, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Jessica Simonetti's NPI number?

The NPI number for Jessica Simonetti is 1508466574. It was assigned to this individual provider in the NPPES registry on October 29, 2020.

Where is Jessica Simonetti located?

Jessica Simonetti practices at Portland Psychotherapy Clinic, Research And Training Ce 3700 N Williams Ave, Portland, OR 97227. The listed phone number is (503) 281-4852.

What is Jessica Simonetti's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jessica Simonetti enrolled in Medicare?

No. Jessica Simonetti has opted out of Medicare through October 29, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jessica Simonetti was last updated on October 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.