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DR. DERRIN YOSHIO KILIPAKI FUKUDA PSY.D.
NPI 1962781542
Psychologist - Clinical Child & Adolescent in Portland, OR

Active since August 12, 2011
516 SE MORRISON ST STE 400, PORTLAND, OR 97214(971) 242-8894 Get Directions Write a Review

NPPES record last updated: September 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Derrin Yoshio Kilipaki Fukuda Psy.d. NPPES

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

DR. DERRIN YOSHIO KILIPAKI FUKUDA PSY.D. (NPI 1962781542) is an individual clinical child & adolescent provider in Portland, Oregon, licensed in Oregon (2399) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1962781542
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameDR. DERRIN YOSHIO KILIPAKI FUKUDACredential: PSY.D.
Location Address516 SE MORRISON ST STE 400Portland, OR 97214-2344
Mailing Address516 Se Morrison St Ste 400Portland, OR 97214-2344 · (971) 242-8894
Phone(971) 242-8894
Sole ProprietorYes
Enumeration DateAugust 12, 2011
Last NPPES UpdateSeptember 30, 2016
✔ NPI 1962781542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in OR · 2399
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
516 SE MORRISON ST STE 400, Portland, OR 97214
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Other Providers at the Same Location NPPES 3

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

THE EASTSIDE CLINIC LLC
Counselor (Mental Health)
516 SE MORRISON ST STE 400
PORTLAND, OR 97214
Multnomah County (503) 484-5068
MICHELLE MADALENA TRAN PSYD
Psychologist
516 SE MORRISON ST STE 400
PORTLAND, OR 97214
Multnomah County (503) 764-9646
JANE HOBART PSY.D.
Psychologist
516 SE MORRISON ST STE 400
PORTLAND, OR 97214
Multnomah County (503) 222-0707

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 Derrin Fukuda's NPI number?

The NPI number for Derrin Fukuda is 1962781542. It was assigned to this individual provider in the NPPES registry on August 12, 2011.

Where is Derrin Fukuda located?

Derrin Fukuda practices at 516 SE Morrison St Ste 400, Portland, OR 97214. The listed phone number is (971) 242-8894.

What is Derrin Fukuda's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

What insurance does Derrin Fukuda accept?

Health plans from HMSA list Derrin Fukuda 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 Derrin Fukuda was last updated on September 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.