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Jon Joseph Cisneros, PSY.D.

NPI 1699244509ActiveIndividual· Psychologist, Clinical· Corvallis, OR

Psychologist, Clinical (PSY.D.) in Corvallis, Oregon, licensed in OR and HI, with an NPI issued in November 2018. Enrolled in Medicare as practitioner - clinical psychologist and practitioner - clinical psychologist.

Overview

NPI1699244509
StatusActive
Entity typeIndividual
CredentialPSY.D.
Sole proprietorYes
NPI issuedNov 20, 2018
Last updated in NPPESOct 14, 2025
Certified by providerOct 14, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist, Clinical Primary103TC0700X3354OR
Psychologist, Clinical103TC0700XPSY-1825HI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Psychologist (HI); Practitioner - Clinical Psychologist (OR)

Medicare sources and data years

Other clinical psychologists in Corvallis

All 28 clinical psychologists in Corvallis · All clinical psychologists in Oregon