SUSANNAH CASTLE PSYD LLC
NPI 1699641183
Psychologist in Portland, OR

Active since October 13, 2025
1509 SW SUNSET BLVD STE 2C, PORTLAND, OR 97239(503) 970-2942(503) 296-2363 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susannah Castle Psyd Llc NPPES

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

SUSANNAH CASTLE PSYD LLC (NPI 1699641183) is a healthcare organization registered as a psychologist in Portland, Oregon and active in the NPI registry since October 2025. The organization lists Susannah Castle, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1699641183
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameSUSANNAH CASTLE PSYD LLC
Location Address1509 SW SUNSET BLVD STE 2CPortland, OR 97239-2689
Mailing Address1509 Sw Sunset Blvd Ste 2cPortland, OR 97239-2689 · (503) 970-2942 · Fax (503) 296-2363
Fax(503) 296-2363
Organization SubpartNo
Authorized OfficialSusannah CastlePsychologist · (503) 970-2942
Enumeration DateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1699641183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
1509 SW SUNSET BLVD STE 2C, Portland, OR 97239

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susannah Castle Psyd Llc 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 Susannah Castle Psyd LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1194925859
5200 SW MACADAM AVE SUITE 580
Portland, OR 97239
(503) 970-2942
✔ PECOS✔ Accepts Medicare1.0 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 Susannah Castle Psyd LLC's NPI number?

The NPI number for Susannah Castle Psyd LLC is 1699641183. It was assigned to this organization in the NPPES registry on October 13, 2025.

Where is Susannah Castle Psyd LLC located?

Susannah Castle Psyd LLC is located at 1509 SW Sunset Blvd Ste 2C, Portland, OR 97239. The listed phone number is (503) 970-2942.

What is Susannah Castle Psyd LLC's specialty?

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

Is Susannah Castle Psyd LLC enrolled in Medicare?

Yes. Susannah Castle Psyd LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Susannah Castle Psyd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Susannah Castle Psyd LLC. 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.

What insurance does Susannah Castle Psyd LLC accept?

Health plans from Moda Health Plan, Inc. list Susannah Castle Psyd LLC 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 Susannah Castle Psyd LLC was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.