DR. KATIE B MCCULLOCH (PH.D.) – Clinical Psychologist, NPI 1013454842
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
647 CLINICAL PSYCHOLOGIST in OR
Provider Addresses for DR. KATIE B MCCULLOCH (PH.D.)
5228 NE HOYT ST BLDG B2ND
PORTLAND, OR 972133055
Phone: (503) 215-4860
Type: Location
3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972083158
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-02-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190225000930 | I | Clinical Psychologist | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96137 | Administration of psychological or neuropsychological test, each additional 30 minutes | 112 | 25 | $0 |
| 96133 | Evaluation of neuropsychological test, each additional hour | 83 | 26 | $0 |
| 96121 | Exam of neurobehavioral status, each additional hour | 30 | 25 | $0 |
| 96116 | Exam of neurobehavioral status, first hour | 28 | 28 | $0 |
| 96132 | Evaluation of neuropsychological test, first hour | 26 | 26 | $0 |
Insurance plans in this area (ZIP 97213)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OR | |
| Physician Assistant | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| N E U R O L O G Y | OR | |
| Nurse Practitioner | OR | |
| Infectious Disease, Internal Medicine | OR | |
| Thoracic Surgery | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | WA |
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