KATHRYN MACLEOD HEITZHAUSEN PSY.D.
NPI 1558716902
Psychologist in Portland, OR

Active since May 03, 2016PECOS EnrolledAccepts Medicare Assignment
12570 SW 69TH AVE, PORTLAND, OR 97223(503) 427-2394 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2024, Sep 14, 2021, Jul 11, 2016 (3 updates tracked since 2016).

About Kathryn Macleod Heitzhausen Psy.d. NPPES

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

KATHRYN MACLEOD HEITZHAUSEN PSY.D. (NPI 1558716902) is an individual psychologist in Portland, Oregon, licensed in Oregon (3363) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Pacific University - College Of Optometry (2020).

NPPES Registry Identity

NPI1558716902
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKATHRYN MACLEOD HEITZHAUSENCredential: PSY.D.
Location Address12570 SW 69TH AVEPortland, OR 97223-2550
Mailing AddressPo Box 16308Portland, OR 97292-0308 · (503) 427-2394
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2020
Enumeration DateMay 3, 2016
Last NPPES UpdateNovember 21, 20243 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
NPI 1558716902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OR · 3363
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 3363 (OR)
12570 SW 69TH AVE, Portland, OR 97223

Other Names 1

Other Name (5)Kate Heitzhausen

Secondary Practice Location 1

Location 11411 SW Morrison StPortland, OR 97205-1945 · Phone (503) 352-2400

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kathryn Macleod Heitzhausen Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507234267
PECOS Enrollment IDI20221130002121
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

Psychologist
12570 SW 69TH AVE, SUITE 200
PORTLAND, OR 97223

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 Kathryn Heitzhausen's NPI number?

The NPI number for Kathryn Heitzhausen is 1558716902. It was assigned to this individual provider in the NPPES registry on May 3, 2016. The provider is also known as Kate Heitzhausen.

Where is Kathryn Heitzhausen located?

Kathryn Heitzhausen practices at 12570 SW 69th Ave, Portland, OR 97223. The listed phone number is (503) 427-2394.

What is Kathryn Heitzhausen's specialty?

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

Is Kathryn Heitzhausen enrolled in Medicare?

Yes. Kathryn Heitzhausen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathryn Heitzhausen accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Kathryn Heitzhausen 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 Kathryn Heitzhausen was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.