PSYCHOLOGICAL SERVICES CONNECTION LLC NPI 1275260465

NPI Information

  • NPI: 1275260465
  • Provider Name: PSYCHOLOGICAL SERVICES CONNECTION LLC
  • Classification: Psychologist - 103T00000X
  • Entity Type: Organization
  • :
  • Address: 811 SW 6TH AVE STE 1000
    PORTLAND, OR
    ZIP 97204
  • Phone: (503) 334-3035

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NPI Details

PSYCHOLOGICAL SERVICES CONNECTION LLC is a psychologist in Portland, 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. PSYCHOLOGICAL SERVICES CONNECTION LLC NPI is 1275260465. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

811 SW 6TH AVE STE 1000
PORTLAND, OR
ZIP 97204-345
Phone: (503) 334-3035
Fax: (503) 961-9212

The provider's authorized official is Julie Keanaaina .
The authorized official title is Owner and has the following contact phone number (503) 927-7724.

The enumeration date for this NPI number is 8/7/2022 and was last updated on 3/20/2025.

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
1101YP2500XCounselorProfessionalNo
2103T00000XPsychologistYes
3104100000XSocial WorkerNo
4106H00000XMarriage & Family TherapistNo
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
6363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

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: 3/30/2025

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