SUSAN MARIE STORMER PHD
NPI 1689611154
Psychologist - Clinical in Portland, OR

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
916 SW KING AVE STE 203, PORTLAND, OR 97205(503) 902-5000 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2022, Apr 18, 2022, May 29, 2020 and 1 more (4 updates tracked since 2017).

About Susan Marie Stormer Phd NPPES

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

SUSAN MARIE STORMER PHD (NPI 1689611154) is an individual clinical provider in Portland, Oregon, licensed in Oregon (2800) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1689611154
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSUSAN MARIE STORMERCredential: PHD
Location Address916 SW KING AVE STE 203Portland, OR 97205-1320
Mailing Address7327 Sw Barnes Rd # 420Portland, OR 97225-6119 · (503) 902-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateJune 1, 2006
Last NPPES UpdateDecember 9, 20224 updates tracked since enumeration
NPPES CertifiedDecember 9, 2022
NPI 1689611154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in OR · 2800 Licensed in TX · 31450 Licensed in WA · PY61341034
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.

916 SW KING AVE STE 203, Portland, OR 97205

Other Identifiers 6

Medicaid145683205TX
Medicaid145683206TX
OtherP00009482TX · Railroad
OtherP00009483TX · Railroad
Other86814ATX · Bcbs
Other86815ATX · Bcbs

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

Susan Marie Stormer Phd 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 ID5890797526
PECOS Enrollment IDI20240612000180
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 97205 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

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

Psychologist (Clinical)
916 SW KING AVE STE 203
PORTLAND, OR 97205

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 Susan Stormer's NPI number?

The NPI number for Susan Stormer is 1689611154. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Susan Stormer located?

Susan Stormer practices at 916 SW King Ave Ste 203, Portland, OR 97205. The listed phone number is (503) 902-5000.

What is Susan Stormer's specialty?

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

Is Susan Stormer enrolled in Medicare?

Yes. Susan Stormer 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 Susan Stormer accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Susan Stormer 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 Susan Stormer was last updated on December 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.