DR. NICOLE MAYEDA PSY.D.
NPI 1619292729
Psychologist - Clinical in Portland, OR

Active since March 31, 2010PECOS EnrolledAccepts Medicare Assignment
3407 S CORBETT AVE, PORTLAND, OR 97239(415) 735-0029 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 18, 2026, May 8, 2023, Apr 10, 2022 and 1 more (4 updates tracked since 2018).

About Dr. Nicole Mayeda Psy.d. NPPES

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

DR. NICOLE MAYEDA PSY.D. (NPI 1619292729) is an individual clinical provider in Portland, Oregon, licensed in California (26451) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1619292729
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. NICOLE MAYEDACredential: PSY.D.
Location Address3407 S CORBETT AVEPortland, OR 97239-4621
Mailing Address3407 S Corbett AvePortland, OR 97239-4621 · (415) 735-0029
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 31, 2010
Last NPPES UpdateMay 18, 20264 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
NPI 1619292729 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 CA · 26451
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.

3407 S CORBETT AVE, Portland, OR 97239

Secondary Practice Location 1

Location 122 Battery St Ste 426San Francisco, CA 94111-5542 · Phone (415) 735-0029

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

Dr. Nicole Mayeda 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 ID2769608454
PECOS Enrollment IDI20140801002302
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

Marriage & Family Therapist
3407 S CORBETT AVE
PORTLAND, OR 97239
Psychiatry & Neurology (Psychiatry)
3407 S CORBETT AVE
PORTLAND, OR 97239
Counselor (Professional)
3407 S CORBETT AVE
PORTLAND, OR 97239
Psychologist (Health Service)
3407 S CORBETT AVE
PORTLAND, OR 97239
Counselor (Professional)
3407 S CORBETT AVE
PORTLAND, OR 97239
Psychologist (Clinical)
3407 S CORBETT AVE
PORTLAND, OR 97239
Social Worker (Clinical)
3407 S CORBETT AVE
PORTLAND, OR 97239
Psychologist (Clinical)
3407 S CORBETT AVE
PORTLAND, OR 97239

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 Nicole Mayeda's NPI number?

The NPI number for Nicole Mayeda is 1619292729. It was assigned to this individual provider in the NPPES registry on March 31, 2010.

Where is Nicole Mayeda located?

Nicole Mayeda practices at 3407 S Corbett Ave, Portland, OR 97239. The listed phone number is (415) 735-0029.

What is Nicole Mayeda's specialty?

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

Is Nicole Mayeda enrolled in Medicare?

Yes. Nicole Mayeda 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.

When was this NPI record last updated?

The NPPES record for Nicole Mayeda was last updated on May 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.