FORREST STUART MERRILL (NPI# 1285883223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285883223 |
| Entity Type | Individual |
| Full Name | FORREST STUART MERRILL |
| Credential | PSY.D. |
| Practice Address |
3050 Se Division St Portland OR 97202-1451 |
| Mailing Address |
3050 Se Division St Portland OR 97202 |
| Practice Telephone | 5036228964 |
| Practice Fax Number | 5037155469 |
| Mailing Telephone | 5036228964 |
| Mailing Fax Number | 5037155469 |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2017-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2347 | OR | Behavioral Health & Social Service Providers |
| Street Address |
3050 SE DIVISION ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97202-1451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710594544 | Sandeep Vijay Kumar | Counselor | 3050 Se Division St, Portland, OR 97202-1898 | 2020-09-25 |
| 1427670348 | Maria Lytle | Counselor | 3050 Se Division St, Portland, OR 97202-1898 | 2020-05-13 |
| 1932746195 | Heeseung Kang | Counselor | 3050 Se Division St, Portland, OR 97202-1898 | 2019-12-06 |
| 1801320726 | Del Rapier | Counselor | 3050 Se Division St, Portland, OR 97202-1451 | 2017-04-18 |
| 1952759201 | Christina Irvine | Student in an Organized Health Care Education/Training Program | 3050 Se Division St, Ste 215, Portland, OR 97202-1451 | 2016-05-26 |
| 1720434566 | Ryan Scott Loiselle | Counselor | 3050 Se Division St, Ste. 215, Portland, OR 97202-1451 | 2016-05-11 |
| 1376963652 | Embodied Psychotherapy Inc | Psychologist | 3050 Se Division St, Suite 210, Portland, OR 97202-1451 | 2014-04-24 |
| 1952730244 | Kerry Weymouth | Social Worker | 3050 Se Division St, Suite 210, Portland, OR 97202-1451 | 2013-11-06 |
| 1255767711 | Krisann Schmitz Talarico | Social Worker | 3050 Se Division St, Suite 210, Portland, OR 97202-1451 | 2013-09-17 |
| 1558708008 | Meghann Case Platt | Psychologist | 3050 Se Division St, Ste 220, Portland, OR 97202 | 2013-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
| 1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
| 1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
| 1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
| 1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
| 1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
| 1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
| Find all providers in zip 97202 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007387 | Lyle Vintinner | Psychologist | 53 Baxter Blvd Ste 3, Portland, ME 04101-1827 | 2020-09-11 |
| 1194341297 | Natalie Dawn Mitchell | Psychologist | 3762 Sw Council Crest Dr, Portland, OR 97239-1595 | 2020-06-24 |
| 1992331607 | Erin A. Mueller | Psychologist | 718 Sw Alder St Ste 200, Portland, OR 97205-3423 | 2020-03-14 |
| 1952940520 | Timothy Allen Cooper | Psychologist | 3331 Sw Hamilton Ct, Portland, OR 97239-1256 | 2019-12-31 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1093373631 | Emily Catherine Stasko | Psychologist | 1950 Nw Raleigh St Apt 201, Portland, OR 97209-1775 | 2019-05-29 |
| 1174094544 | Juniper Psychological Services | Psychologist | 2827 Ne Alberta St, Portland, OR 97211-6350 | 2018-12-11 |
| 1528539335 | Mark G Kiefner Phd LLC | Psychologist | 225 Commercial St Ste 403, Portland, ME 04101-6603 | 2018-12-06 |
| 1467941831 | Shannon Madore | Psychologist | 3710 Sw Us Veterans Hospital Rd # R&d66, Portland, OR 97239-2964 | 2018-05-01 |
| 1033637202 | Kaylin Jones | Psychologist | 1235 Se Division Street, Suite 115, Portland, OR 97202-9720 | 2017-09-07 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.