AMBER MICHELLE CHORUBY WHITELEY PHD
NPI 1952284713
Psychologist - Clinical in Portland, OR

Active since July 29, 2025PECOS EnrolledAccepts Medicare Assignment
4920 N INTERSTATE AVE, PORTLAND, OR 97217(503) 215-3300 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amber Michelle Choruby Whiteley Phd NPPES

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

AMBER MICHELLE CHORUBY WHITELEY PHD (NPI 1952284713) is an individual clinical provider in Portland, Oregon, licensed in Oregon (4043) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2019).

NPPES Registry Identity

NPI1952284713
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameAMBER MICHELLE CHORUBY WHITELEYCredential: PHD
Location Address4920 N INTERSTATE AVEPortland, OR 97217-3653
Mailing Address4920 N Interstate AvePortland, OR 97217-3653 · (503) 215-3300
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2019
Enumeration DateJuly 29, 2025
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1952284713 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 · 4043
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 · License 11388435-2501 (UT)
4920 N INTERSTATE AVE, Portland, OR 97217

Other Names 1

Former Name (1)Amber Michelle Whiteley

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amber Michelle Choruby Whiteley 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 ID2860998978
PECOS Enrollment IDI20250929001928
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.

Medicare Billing Reassignment

Medicare enrollment records show Amber Choruby Whiteley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
4920 N INTERSTATE AVE
Portland, OR 97217
  • Reassigned Medicare billing, Oregon enrollment
  • 1,501 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97217 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 20

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

Family Medicine
4920 N INTERSTATE AVE
PORTLAND, OR 97217
Family Medicine
4920 N INTERSTATE AVE
PORTLAND, OR 97217
Family Medicine
4920 N INTERSTATE AVE
PORTLAND, OR 97217
Psychologist (Clinical)
4920 N INTERSTATE AVE
PORTLAND, OR 97217
Family Medicine
4920 N INTERSTATE AVE
PORTLAND, OR 97217
Family Medicine
4920 N INTERSTATE AVE
PORTLAND, OR 97217
Family Medicine
4920 N INTERSTATE AVE
PORTLAND, OR 97217
Family Medicine
4920 N INTERSTATE AVE
PORTLAND, OR 97217

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 Amber Choruby Whiteley's NPI number?

The NPI number for Amber Choruby Whiteley is 1952284713. It was assigned to this individual provider in the NPPES registry on July 29, 2025. The provider is also known as Amber Michelle Whiteley.

Where is Amber Choruby Whiteley located?

Amber Choruby Whiteley practices at 4920 N Interstate Ave, Portland, OR 97217. The listed phone number is (503) 215-3300.

What is Amber Choruby Whiteley's specialty?

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

Is Amber Choruby Whiteley enrolled in Medicare?

Yes. Amber Choruby Whiteley 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.

Which organization bills Medicare for Amber Choruby Whiteley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Choruby Whiteley reassigns Medicare benefits to Providence Health & Services - Oregon (Portland, OR). The 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 Amber Choruby Whiteley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amber Choruby Whiteley was last updated on October 14, 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.