Portland Psychological Assessments, LLC
Psychologist (Clinical)

Address: 650 Ne Holladay St Ste 1600, Portland, OR 97232-2035
Phone: 9717701813

Portland Psychological Assessments, LLC (NPI# 1104425354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1104425354
Entity Type Organization
Practice Address 650 Ne Holladay St Ste 1600
OR 97232-2035
Practice Telephone 9717701813
Practice Fax Number 8882447140
Mailing Address 650 Ne Holladay St Ste 1600
OR 97232-2035
Mailing Telephone 9717701813
Mailing Fax Number 8882447140
Authorized Official Name Jack Wells (OWNER)
Authorized Official Telephone 9717701813
Authorized Official Credential PSYD
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-10-20
Last Update Date 2020-10-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 103TC0700X Psychologist · Clinical Behavioral Health & Social Service Providers

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

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.
Notes: Source: American Psychological Association, www.apa.org [1/1/2019: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194341297 Natalie Dawn Mitchell Psychologist 3762 Sw Council Crest Dr, Portland, OR 97239-1595 2020-06-24
1992331607 Erin A. Mueller Psychologist 718 Sw Alder St Ste 200, Portland, OR 97205-3423 2020-03-14
1952940520 Timothy Allen Cooper Psychologist 3331 Sw Hamilton Ct, Portland, OR 97239-1256 2019-12-31
1215574058 Northwest Dbt LLC Psychologist 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 2019-11-27
1093373631 Emily Catherine Stasko Psychologist 1950 Nw Raleigh St Apt 201, Portland, OR 97209-1775 2019-05-29
1174094544 Juniper Psychological Services Psychologist 2827 Ne Alberta St, Portland, OR 97211-6350 2018-12-11
1528539335 Mark G Kiefner Phd LLC Psychologist 225 Commercial St Ste 403, Portland, ME 04101-6603 2018-12-06
1467941831 Shannon Madore Psychologist 3710 Sw Us Veterans Hospital Rd # R&d66, Portland, OR 97239-2964 2018-05-01
1033637202 Kaylin Jones Psychologist 1235 Se Division Street, Suite 115, Portland, OR 97202-9720 2017-09-07
1811410582 Alissa Dyan Bazinet Psychologist 959 Se Division St Ste 315, Portland, OR 97214-4650 2017-07-24
Find all providers in PORTLAND

Office Location

Street Address 650 NE HOLLADAY ST STE 1600
State OR
Zip Code 97232-2035

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881293215 Oregon Change Clinic Clinic/Center 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 2020-10-17
1154969947 Lori Kristen Miracle Acupuncturist Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 2019-12-12
1194285411 Onampai Modina Soondarotok Student in an Organized Health Care Education/Training Program Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 2019-03-22
1003399635 Cathleen Nicole Wenberg Social Worker 1839 Ne Couch St, Portland, OR 97232 2018-09-10
1508350760 Float North Acupuncturist 1617 Ne 17th Ave., Portland, OR 97232 2018-06-20
1629560719 Rachael Lee Walters Doula 3005 Ne Hoyt St, Portland, OR 97232 2018-06-04
1225529431 Jason Sutherland Social Worker 707 Ne Couch, Portland, OR 97232 2018-05-23
1770089245 Richard Farwell Leman Family Medicine 800 Ne Oregon St., Suite 772, Portland, OR 97232 2018-04-03
1952803413 Aleksandra Giedowyn Md PC Family Medicine 1923 Ne Broadway Street Suite 2, Portland, OR 97232 2018-03-01
1639680374 Amanda Matteo Counselor 20 Ne 10th Ave, Portland, OR 97232 2017-10-20
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Zip Code 97232

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.