Katie B. McCulloch, PH.D.
NPI 1013454842ActiveIndividual· Psychologist, Clinical· Portland, OR
Psychologist, Clinical (PH.D.) with Providence Health and Services Oregon, practicing in Portland, Oregon. Medicare paid $15,025 for services to 25 patients in 2024.
Overview
| NPI | 1013454842 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Jan 31, 2017 |
| Last updated in NPPES | Apr 9, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 2976 | OR |
| Clinical Neuropsychologist | 103G00000X | 60690421 | WA |
| Psychologist, Clinical | 103TC0700X | 60690421 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 276 across 7 procedure codes |
| Paid by Medicare | $15,025 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Providence Health and Services OregonPortland, OR · 1,433 clinicians
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