Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699244509 Individual Practitioner Male Practitioner

Dr. Jon Joseph Cisneros , PsyD

Psychologist - Clinical • Corvallis, OR

Professional Overview & Biography Verified Profile Summary

Dr. Jon Cisneros, PsyD is a registered healthcare professional specializing in Psychologist - Clinical in Corvallis, OR. Practice services are available at 151 NW MONROE AVE STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

151 Nw Monroe Ave Ste 103

Corvallis, OR 973304708

Telephone 5415174542

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Corvallis, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.8 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
23 Specialists

Practicing in Corvallis, OR (1193 Statewide)

Telehealth Adoption Rate
4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-14
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License OR 3354

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

State License HI PSY-1825

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Secondary Practice Locations

1441 Kapiolani Blvd Ste 1802

Honolulu, HI 968144408

Phone: 8085256255

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location October 14, 2025

Registered at 151 NW MONROE AVE STE 103, CORVALLIS, OR 973304708 (Tel: 5415174542)

📍
Updated Business Mailing Address October 14, 2025

Registered at 151 NW MONROE AVE STE 103, CORVALLIS, OR 973304708 (Tel: 5415174542)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2025

Psychologist (License #PSY-1825 in HI)

📍
Updated Practice Location May 11, 2021

Registered at 444 NW ELKS DR, CORVALLIS, OR 973303745 (Tel: 5417541150)

📍
Updated Business Mailing Address May 11, 2021

Registered at 444 NW ELKS DR, CORVALLIS, OR 973303745 (Tel: 5417541150)

NPI Profile Active November 20, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location November 20, 2018

Registered at 333 SIXTH ST, LANAI CITY, HI 96763 (Tel: 8085656919)

📍
Updated Business Mailing Address November 20, 2018

Registered at PO BOX 630142, LANAI CITY, HI 96763 (Tel: 8085656919)

👤
Provider Name / Credentials Updated November 20, 2018

Recorded as JON CISNEROS, PSY.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration November 20, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699244509
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2018
Last Update: October 14, 2025
Sole Proprietor: Yes

Mailing Address

151 Nw Monroe Ave Ste 103

Corvallis, OR 973304708

Phone: 5415174542

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.