DR. KATHRYN ELYSE WOICICKI PSY.D.
NPI 1679809065
Psychologist in Portland, OR

Active since October 20, 2009Opted out of Medicare · through Feb 18, 2027
3700 N WILLIAMS AVE, PORTLAND, OR 97227(503) 281-4852 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kathryn Elyse Woicicki Psy.d. NPPES

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

DR. KATHRYN ELYSE WOICICKI PSY.D. (NPI 1679809065) is an individual psychologist in Portland, Oregon, licensed in Oregon (3784) and active in the NPI registry since October 2009. She has opted out of Medicare through February 18, 2027.

NPPES Registry Identity

NPI1679809065
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KATHRYN ELYSE WOICICKICredential: PSY.D.
Location Address3700 N WILLIAMS AVEPortland, OR 97227-1441
Mailing Address3700 N Williams AvePortland, OR 97227-1441 · (503) 281-4852
Sole ProprietorNo
Enumeration DateOctober 20, 2009
Last NPPES UpdateSeptember 25, 2024
NPPES CertifiedSeptember 25, 2024
NPI 1679809065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OR · 3784
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 30399 (CA)
3700 N WILLIAMS AVE, Portland, OR 97227

Other Identifiers 2

OtherTBDOR · Ohp
OtherC653953OR · Oregon Dmv

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Kathryn Elyse Woicicki Psy.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 February 18, 2025 through February 18, 2027.

Opt-Out Effective DateFebruary 18, 2025
Opt-Out In Effect ThroughFebruary 18, 2027Opt-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.

Counselor (Mental Health)
3700 N WILLIAMS AVE
PORTLAND, OR 97227
Clinic/Center (Mental Health (Including Community Mental Health Center))
3700 N WILLIAMS AVE
PORTLAND, OR 97227
Psychologist (Clinical)
3700 N WILLIAMS AVE
PORTLAND, OR 97227
Psychologist (Clinical)
3700 N WILLIAMS AVE
PORTLAND, OR 97227
Counselor (Mental Health)
3700 N WILLIAMS AVE
PORTLAND, OR 97227
Counselor (Mental Health)
3700 N WILLIAMS AVE
PORTLAND, OR 97227
Psychologist (Clinical)
3700 N WILLIAMS AVE
PORTLAND, OR 97227
Counselor (Mental Health)
3700 N WILLIAMS AVE
PORTLAND, OR 97227

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 Woicicki's NPI number?

The NPI number for Kathryn Woicicki is 1679809065. It was assigned to this individual provider in the NPPES registry on October 20, 2009.

Where is Kathryn Woicicki located?

Kathryn Woicicki practices at 3700 N Williams Ave, Portland, OR 97227. The listed phone number is (503) 281-4852.

What is Kathryn Woicicki's specialty?

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

Is Kathryn Woicicki enrolled in Medicare?

No. Kathryn Woicicki has opted out of Medicare through February 18, 2027. 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 Kathryn Woicicki was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.