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ST MARY'S HOME FOR BOYS NPI 1619057098


NPI Information

NPI: 1619057098
Provider Name: ST MARY'S HOME FOR BOYS
Classification: Psychologist - 103TC1900X
Entity Type: Organization

Specialization: Counseling

Address:
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR
ZIP 97006
Phone: (503) 649-5651
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ST MARY'S HOME FOR BOYS is a counseling psychologist in Beaverton, OR. The provider is a psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms. ST MARY'S HOME FOR BOYS NPI is 1619057098. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR
ZIP 97006-143
Phone: (503) 649-5651
Fax: (503) 649-7405

The provider's authorized official is Michael Cole .
The authorized official title is Assistant Director and has the following contact phone number (503) 259-3201.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 5/7/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthOREGONNo
2103TB0200XPsychologistCognitive & Behavioral891OREGONNo
3103TC0700XPsychologistClinical891OREGONNo
4103TC2200XPsychologistClinical Child & Adolescent891OREGONNo
5103T00000XPsychologist891OREGONNo
6106H00000XMarriage & Family TherapistT0433OREGONNo
72084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry17887OREGONNo
8261QM0855XClinic/CenterAdolescent and Children Mental HealthOREGONNo
9322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenOREGONNo
10283Q00000XPsychiatric Hospital17887OREGONNo
11103TC1900XPsychologistCounseling891OREGONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1210855MEDICAIDOREGON

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: 4/28/2024

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