SOPHIA KUKLADYER
NPI 1528354040
Marriage & Family Therapist in Portland, OR
About Sophia Kukladyer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOPHIA KUKLADYER (NPI 1528354040) is an individual marriage & family therapist in Portland, Oregon, licensed in Oregon (T1429) and active in the NPI registry since June 2011. She has opted out of Medicare through January 1, 2028.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Sophia Kukladyer 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 January 1, 2024 through January 1, 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.
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 Sophia Kukladyer's NPI number?
The NPI number for Sophia Kukladyer is 1528354040. It was assigned to this individual provider in the NPPES registry on June 23, 2011.
Where is Sophia Kukladyer located?
Sophia Kukladyer practices at 2574 NW Thurman St, Portland, OR 97210. The listed phone number is (503) 455-4227.
What is Sophia Kukladyer's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Sophia Kukladyer enrolled in Medicare?
No. Sophia Kukladyer has opted out of Medicare through January 1, 2028. 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 Sophia Kukladyer was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Sophia Kukladyer · NPI 1528354040
Marriage & Family Therapist provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since June 23, 2011.
## Identity
- **NPI:** 1528354040 (Entity type: Individual)
- **Enumerated:** June 23, 2011
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** T1429 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 2574 NW THURMAN ST, Portland, OR 97210-2524
- **Phone:** (503) 455-4227
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** February 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1528354040) · Data from the CMS NPPES public registry.