KELLIE OOSTERBAAN PSYD RD PC
NPI 1609940030
Psychologist - Clinical in Hood River, OR

Q: What is Kellie Oosterbaan Psyd Rd PC's NPI number?

The NPI number for Kellie Oosterbaan Psyd Rd PC is 1609940030. It was assigned to this organization in the NPPES registry on November 18, 2006.

Q: What is Kellie Oosterbaan Psyd Rd PC's specialty?

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

Active since November 18, 2006

1100 E MARINA WAY STE 221, HOOD RIVER, OR 97031(541) 386-6070(541) 610-1955 Get Directions Write a Review

NPPES record last updated: January 16, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kellie Oosterbaan Psyd Rd Pc NPPES

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

KELLIE OOSTERBAAN PSYD RD PC (NPI 1609940030) is a healthcare organization registered as a clinical in Hood River, Oregon and active in the NPI registry since November 2006. The organization lists Kellie Oosterbaan, President, as its authorized official.

NPPES Registry Identity

NPI1609940030

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameKELLIE OOSTERBAAN PSYD RD PC

Location Address1100 E MARINA WAY STE 221Hood River, OR 97031-2353

Mailing Address704 Columbia StHood River, OR 97031-1720 · (541) 788-5744 · Fax (541) 610-1955

Phone(541) 386-6070

Fax(541) 610-1955

Organization SubpartNo

Authorized OfficialKellie OosterbaanPresident · (541) 788-5744

Enumeration DateNovember 18, 2006

Last NPPES UpdateJanuary 16, 2013

✔ NPI 1609940030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OR · 1642

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.

1100 E MARINA WAY STE 221, Hood River, OR 97031

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie Oosterbaan Psyd Rd Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kellie Oosterbaan Psyd Rd PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kellie Wolff

Clinical Psychologist

NPI 1982778312

704 COLUMBIA ST
Hood River, OR 97031

(541) 386-6070

✔ PECOS✔ Accepts Medicare0.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kellie Oosterbaan Psyd Rd PC's NPI number?

The NPI number for Kellie Oosterbaan Psyd Rd PC is 1609940030. It was assigned to this organization in the NPPES registry on November 18, 2006.

Where is Kellie Oosterbaan Psyd Rd PC located?

Kellie Oosterbaan Psyd Rd PC is located at 1100 E Marina Way Ste 221, Hood River, OR 97031. The listed phone number is (541) 386-6070.

What is Kellie Oosterbaan Psyd Rd PC's specialty?

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

Is Kellie Oosterbaan Psyd Rd PC enrolled in Medicare?

Yes. Kellie Oosterbaan Psyd Rd PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kellie Oosterbaan Psyd Rd PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Kellie Oosterbaan Psyd Rd PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kellie Oosterbaan Psyd Rd PC was last updated on January 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.