NPPES file of Aug 9, 2026

Ethan Waranch, PSYD

Psychologist · Portland, OR

Ethan Waranch, PSYD is a psychologist with a practice address in Portland, Oregon, and NPI 1053764886, issued on Jul 16, 2016. Check the license (Oregon 3654, as entered in NPPES) with the Oregon board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053764886
Name
Ethan Waranch
Credential
PSYD
Primary taxonomy
Psychologist 103T00000X
License number
3654 OR
Self-reported in NPPES; status is on the state search
Practice location
12636 SE Stark St Bldg J, Portland, OR 97233
Phone
(503) 253-4600
Enumerated
Jul 16, 2016
Record last updated
Feb 2, 2023
Fax
(503) 253-4605
Medicare enrollment
Enrolled (PECOS I20230705002505); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

8 nearest psychologist records → All 742 in Oregon → Look up another NPI →

Also registered at 12636 SE Stark St Bldg J

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Matthew Bayley, QMHP-RMental Health Counselor1568978484
  2. Maria Berman, PH.D.Clinical Psychologist1568750230
  3. Samantha Boyle, RNRegistered Nurse1568351765
  4. Alyssa Brin, LPC, CNProfessional Counselor1306124276
  5. Francesca Caselli, LPCMental Health Counselor1487927109
  6. Michelle Craig, MA, LPCProfessional Counselor1255421160

Verify Ethan Waranch in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Oregon board licenses this profession
    Search for license 3654    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Oregon license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Psychological Services Connection LLCPortland, OR

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Ethan Waranch among 742 psychologist records in Oregon

Ethan Waranch, PSYD is one of 742 psychologist records with a practice address in Oregon. 13% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 72% of them.

  • NPI issued2016 · 72% of these records are older, 25% newer
  • In a Medicare fileYes · 13% of these records are
  • In the CMS Doctors and Clinicians fileYes · 22% of these records are
  • Graduated2021 · median 2012 among the 161 with a school on file
  • Record last updated2023 · 59% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103T00000X and a Oregon practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Psychologist providers in Oregon

There are 742 psychologist records in Oregon.

All 742 in Oregon → Every provider in Portland → Psychologist nationwide →

The 8 psychologist records with the nearest ZIP codes

  1. Sacha Scott, PSY.DPortland, OR 972331194972299
  2. Natasha White, PHDPortland, OR 972331194197640
  3. Carissa BerrettPortland, OR 972321538961826
  4. Erin Besser, PSY.D.Portland, OR 972321679818538
  5. Nicholas Cherry, PSYDPortland, OR 972321336711191
  6. Jennifer Cherry, PH.D.Portland, OR 972321619533122
  7. Marissa CooperPortland, OR 972321093638322
  8. Hayley DautermanPortland, OR 972321679907927

Common questions

What is Ethan Waranch, PSYD's NPI number?

Ethan Waranch, PSYD's National Provider Identifier (NPI) is 1053764886, issued on Jul 16, 2016. An NPI identifies a provider in billing; it is not a license.

Where is Ethan Waranch, PSYD located?

The NPPES record lists a practice address at 12636 SE Stark St Bldg J, Portland, OR, 97233. Phone: (503) 253-4600. Providers update this record themselves, so call before visiting.

How can I verify Ethan Waranch, PSYD's license?

NPPES lists Oregon license number 3654, as entered by the provider. Search the Oregon board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.