JESSICA MICHELLE SIMONETTI
Psychologist

Address: Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227

JESSICA MICHELLE SIMONETTI (NPI# 1508466574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508466574
Entity Type Individual
Full Name MRS. JESSICA MICHELLE SIMONETTI
Gender Female
Credential PH.D.
Practice Address Portland Psychotherapy Clinic, Research and Training Ce
3700 N Williams Ave
Portland
OR 97227
Practice Telephone 5032814852
Practice Fax Number 5035753711
Mailing Address Portland Psychotherapy Clinic, Research and Training Ce
3700 N Williams Ave
Portland
OR 97227
Mailing Telephone 5032814852
Mailing Fax Number 5035753711
Certification Date 2020-10-29
Enumeration Date 2020-10-29
Last Update Date 2020-10-29
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 103T00000X Psychologist 3254 OR Behavioral Health & Social Service Providers

Office Location

Street Address PORTLAND PSYCHOTHERAPY CLINIC, RESEARCH AND TRAINING CE
3700 N WILLIAMS AVE
City PORTLAND
State OR
Zip Code 97227

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1447812268 Maksim Yefimov Physician Assistant 2800 N Vancouver Ave Ste 130, Portland, OR 97227 2019-07-01
1851955975 Erin Marie Staples Student in an Organized Health Care Education/Training Program 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 2019-04-24
1922588508 Melanie Grace Mix Physician Assistant - Surgical Technologist 501 N Graham St Ste 420, Portland, OR 97227 2018-08-14
1538656434 Jennifer Rose Parr · Jennifer Rose Gross Nurse Practitioner - Family 300 N Graham St Ste 200, Portland, OR 97227 2018-04-16
1619534237 Caitlin K Maddigan Midwife 4057 N Concord Ave, Portland, OR 97227-1013 2019-05-20
1619579653 Brent A Luebbert Massage Therapist 3724 N Massachusetts Ave Unit B, Portland, OR 97227-1030 2020-11-13
1194227199 Alberta Qamar Massage Therapist 1417 N Shaver St, Portland, OR 97227-1060 2018-03-06
1093293375 Trusha B Patel Dentist - General Practice 3801 N Interstate Ave, Portland, OR 97227-1109 2018-07-30
1255809919 Jane Sylvia Sullivan Massage Therapist 909 N Beech St Ste 201, Portland, OR 97227-1115 2018-11-10
1528571379 Andrea Michelle Mcbeth Naturopath 909 N Beech St Ste 206, Portland, OR 97227-1115 2017-11-14
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871178640 Olivia Rothman Psychologist 1020 Sw Taylor St Ste 855, Portland, OR 97205-2570 2021-03-13
1871181214 Alana J Duschane LLC Psychologist 2279 Nw Irving St Fl 2, Portland, OR 97210-3222 2020-12-31
1659968162 Wan-Chen Weng Psychologist 4804 Nw Bethany Blvd Ste I2, Portland, OR 97229-9195 2020-12-30
1669097267 Blume Therapy LLC Psychologist 1220 Sw Morrison St Ste 1100, Portland, OR 97205-2230 2020-06-10
1811518434 Nathaniel Israel Psychologist 7419 Se Woodstock Blvd, Portland, OR 97206-5838 2020-05-05
1477112480 Stella Beatriz Kerl-Mcclain Psychologist 2826 Sw Ridge Dr, Portland, OR 97219-6205 2019-06-12
1184281438 Nicholas Alexander Schollars Psychologist 3050 Se Division St # 215, Portland, OR 97202-1451 2019-05-22
1639637432 Bayside Psychology and Consulting, LLC Psychologist 1 Union St Ste 402, Portland, ME 04101-4048 2019-03-11
1942766985 Alexandra R. Lash Psychologist 386 Fore St, Portland, ME 04101-4047 2019-02-14
1114490620 Lynn Kulander Collins Psychologist 5441 Sw Macadam Ave Ste 200, Portland, OR 97239-3822 2019-01-07
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City PORTLAND
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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.

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