Renata A. Ackermann, PHD
Clinical Psychologist · Portland, OR
Renata A. Ackermann, PHD is a clinical psychologist with a practice address in Portland, Oregon, and NPI 1053453050, issued on Feb 13, 2007. Check the license (Oregon 1777, as entered in NPPES) with the Oregon board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Renata A. Ackermann
- Credential
- PHD
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- 1777 OR
Self-reported in NPPES; status is on the state search - Practice location
- 619 NW 6TH Ave, Portland, OR 97209
- Phone
- (503) 988-3700
- Enumerated
- Feb 13, 2007
- Record last updated
- Apr 10, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (503) 988-5520
- Medicaid IDs
- 22959 OR
096511 OR - Medicare enrollment
- Enrolled (PECOS I20080917000485); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 1,143 in Oregon → Look up another NPI →
Also registered at 619 NW 6TH Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Emily Borke, LCSWClinical Social Worker1215373048
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Verify Renata A. Ackermann in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Oregon board licenses this profession
Search for license 1777Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Multnomah CountyPortland, OR
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Renata A. Ackermann among 1,143 clinical psychologist records in Oregon
Renata A. Ackermann, PHD is one of 1,143 clinical psychologist records with a practice address in Oregon. 16% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 24% of them.
- NPI issued2007 · 24% of these records are older, 55% newer
- In a Medicare fileYes · 16% of these records are
- In the CMS Doctors and Clinicians fileYes · 25% of these records are
- Graduated1994 · median 2008 among the 287 with a school on file
- Record last updated2019 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Oregon practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
508 clinical psychologist records list a practice address in Portland
They are 508 of the 42,088 NPPES records with a practice address in Portland, and 1,143 clinical psychologist records in Oregon.
All 1,143 in Oregon → Every provider in Portland → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Christopher Allen, PH.D.Portland, OR 972091720111859
- Robin Bagai, PSY.D.Portland, OR 972091619032307
- Barbara Campbell, PH.D.Portland, OR 972091124199385
- Keith Campbell, PHDPortland, OR 972091104964436
- Michaele Dunlap, PSY.D.Portland, OR 972091932326584
- Frederick Grossman, PHDPortland, OR 972091871673509
- Pete Morones, PH.D.Portland, OR 972091992844575
- Tana PagetPortland, OR 972091104949411
Common questions
What is Renata A. Ackermann, PHD's NPI number?
Renata A. Ackermann, PHD's National Provider Identifier (NPI) is 1053453050, issued on Feb 13, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Renata A. Ackermann, PHD located?
The NPPES record lists a practice address at 619 NW 6TH Ave, Portland, OR, 97209. Phone: (503) 988-3700. Providers update this record themselves, so call before visiting.
How can I verify Renata A. Ackermann, PHD's license?
NPPES lists Oregon license number 1777, 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.
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.