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NORTHWEST PSYCHOLOGICAL CENTER PC NPI 1144201807


NPI Information

NPI: 1144201807
Provider Name: NORTHWEST PSYCHOLOGICAL CENTER PC
Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
15 82ND DR.
SUITE 240
GLADSTONE, OR
ZIP 97027
Phone: (503) 652-2810
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NORTHWEST PSYCHOLOGICAL CENTER PC is a psychologist in Gladstone, OR. The provider is 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. NORTHWEST PSYCHOLOGICAL CENTER PC NPI is 1144201807. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15 82ND DR.
SUITE 240
GLADSTONE, OR
ZIP 97027-558
Phone: (503) 652-2810
Fax: (503) 652-8553

The provider's authorized official is Joseph Ghattas Hadeed .
The authorized official title is Psychologist/ Owner and has the following contact phone number (503) 652-2810.

The enumeration date for this NPI number is 11/9/2005 and was last updated on 1/11/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologist1151OREGONNo
2106H00000XMarriage & Family TherapistNo
3103T00000XPsychologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1072662OTHEROREGONMANAGED HEALTH NETWORK
2089784001OTHEROREGONREGENCE BC/BS OF OREGON
3067517MEDICAIDOREGON
4OR030417OTHEROREGONPACIFICARE BEHAVIORAL HEA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.