DOUGLAS B GOLDEN PH.D.
NPI 1902013345
Psychologist - Clinical in Portland, OR

Q: What is Douglas Golden's NPI number?

The NPI number for Douglas Golden is 1902013345. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Q: What is Douglas Golden's specialty?

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

Q: Is Douglas Golden enrolled in Medicare?

No. Douglas Golden has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Douglas Golden was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since May 16, 2007Opted out of Medicare · through Apr 1, 2028

3434 SW KELLY AVE, PORTLAND, OR 97239(503) 228-6071 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Douglas B Golden Ph.d. NPPES

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

DOUGLAS B GOLDEN PH.D. (NPI 1902013345) is an individual clinical provider in Portland, Oregon, licensed in Oregon (391) and active in the NPI registry since May 2007. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1902013345

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDOUGLAS B GOLDENCredential: PH.D.

Location Address3434 SW KELLY AVEPortland, OR 97239-4630

Mailing Address3434 Sw Kelly AvePortland, OR 97239-4630 · (503) 228-6071

Phone(503) 228-6071

Sole ProprietorYes

Enumeration DateMay 16, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1902013345 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 OR · 391

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.

3434 SW KELLY AVE, Portland, OR 97239

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Douglas B Golden Ph.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 April 1, 2018 through April 1, 2028.

Opt-Out Effective DateApril 1, 2018

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 6

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

SCOT R MACLEAN MD

Psychiatry & Neurology (Psychiatry)