MARIANNE MICHELLE KABOUR (PHD) – Clinical Child & Adolescent Psychologist, NPI 1528134772
Clinical Child & Adolescent Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MARIANNE MICHELLE KABOUR (PHD)
2801 N Gantenbein Ave Fl 3
Portland, OR 972271623
Phone: (503) 276-9300
Type: Location
23516 NE 237TH ST
BATTLE GROUND, WA 986045132
Phone: (650) 793-1149
Type: Mailing
1000 RYLAND ST
RENO, NV 895021748
Phone: (775) 982-5000
Type: Location
North Gantenbein Avenue, Albina, Eliot, Portland, Multnomah County, Oregon, 97227, United States
PORTLAND, OR 972271623
Phone: (503) 276-9300
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2022-10-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160927001702 | I | Clinical Psychologist | OR | TBD |
| I20221021001472 | I | Clinical Psychologist | NV | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97227)
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