JOAN B FLEISHMAN PSYD
NPI 1639422132
Psychologist - Clinical in Portland, OR

Active since October 22, 2012Opted out of Medicare · through Oct 1, 2028
3930 SE DIVISION ST, PORTLAND, OR 97202(503) 418-8201 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Joan B Fleishman Psyd NPPES

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

JOAN B FLEISHMAN PSYD (NPI 1639422132) is an individual clinical provider in Portland, Oregon, licensed in Oregon (2335) and active in the NPI registry since October 2012. She has opted out of Medicare through October 1, 2028.

NPPES Registry Identity

NPI1639422132
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJOAN B FLEISHMANCredential: PSYD
Location Address3930 SE DIVISION STPortland, OR 97202-1643
Mailing Address3930 Se Division StPortland, OR 97202-1643 · (503) 418-8201
Sole ProprietorNo
Enumeration DateOctober 22, 2012
Last NPPES UpdateMay 22, 2019
NPI 1639422132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in OR · 2335
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.
Also ListedPsychologistTaxonomy 103T00000X
3930 SE DIVISION ST, Portland, OR 97202

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Joan B Fleishman Psyd 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 October 1, 2026 through October 1, 2028.

Opt-Out Effective DateOctober 1, 2026
Opt-Out In Effect ThroughOctober 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3930 SE DIVISION ST
PORTLAND, OR 97202
Family Medicine
3930 SE DIVISION ST
PORTLAND, OR 97202
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3930 SE DIVISION ST
PORTLAND, OR 97202
Nurse Practitioner (Family)
3930 SE DIVISION ST
PORTLAND, OR 97202
Physician Assistant (Medical)
3930 SE DIVISION ST
PORTLAND, OR 97202
Social Worker (Clinical)
3930 SE DIVISION ST
PORTLAND, OR 97202
Counselor (Mental Health)
3930 SE DIVISION ST
PORTLAND, OR 97202
Family Medicine
3930 SE DIVISION ST
PORTLAND, OR 97202

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 Joan Fleishman's NPI number?

The NPI number for Joan Fleishman is 1639422132. It was assigned to this individual provider in the NPPES registry on October 22, 2012.

Where is Joan Fleishman located?

Joan Fleishman practices at 3930 SE Division St, Portland, OR 97202. The listed phone number is (503) 418-8201.

What is Joan Fleishman's specialty?

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

Is Joan Fleishman enrolled in Medicare?

No. Joan Fleishman has opted out of Medicare through October 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 Joan Fleishman was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.