NORMAN L THIESEN PH.D.
NPI 1548285695
Psychologist in Milwaukie, OR

Active since July 12, 2006Opted out of Medicare · through Apr 1, 2027
6400 SE LAKE RD STE 325, MILWAUKIE, OR 97222(503) 786-1711(503) 786-9919 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Norman L Thiesen Ph.d. NPPES

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

NORMAN L THIESEN PH.D. (NPI 1548285695) is an individual psychologist in Milwaukie, Oregon, licensed in Oregon (1676) and active in the NPI registry since July 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1548285695
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameNORMAN L THIESENCredential: PH.D.
Location Address6400 SE LAKE RD STE 325Milwaukie, OR 97222-2185
Mailing Address6400 Se Lake Rd Ste 325Milwaukie, OR 97222-2185 · (503) 786-1711 · Fax (503) 786-9919
Fax(503) 786-9919
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1548285695 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 · 1676
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.

6400 SE LAKE RD STE 325, Milwaukie, OR 97222

Other Identifiers 1

Medicare ID-Type UnspecifiedR133999OR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Norman L Thiesen 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 April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Psychologist
6400 SE LAKE RD STE 325
MILWAUKIE, OR 97222
Psychiatry & Neurology (Psychiatry)
6400 SE LAKE RD STE 325
MILWAUKIE, OR 97222
Nurse Practitioner (Psychiatric/Mental Health)
6400 SE LAKE RD STE 325
MILWAUKIE, OR 97222
Psychologist
6400 SE LAKE RD STE 325
MILWAUKIE, OR 97222
Social Worker (Clinical)
6400 SE LAKE RD STE 325
MILWAUKIE, OR 97222
Psychologist
6400 SE LAKE RD STE 325
MILWAUKIE, OR 97222
Psychologist
6400 SE LAKE RD STE 325
MILWAUKIE, OR 97222
Psychologist
6400 SE LAKE RD STE 325
MILWAUKIE, OR 97222

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 Norman Thiesen's NPI number?

The NPI number for Norman Thiesen is 1548285695. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Norman Thiesen located?

Norman Thiesen practices at 6400 SE Lake Rd Ste 325, Milwaukie, OR 97222. The listed phone number is (503) 786-1711.

What is Norman Thiesen's specialty?

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

Is Norman Thiesen enrolled in Medicare?

No. Norman Thiesen has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Norman Thiesen was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.