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POSITIVE DEVELOPMENT FOR YOUTH AND FAMILIES INC. NPI 1912530643


NPI Information

NPI: 1912530643
Provider Name: POSITIVE DEVELOPMENT FOR YOUTH AND FAMILIES, INC.

Former Legal Business Name: POSITIVE DEVELOPMENT FOR YOUTH AND FAMILIES

Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

Address:
4531 SE BELMONT ST STE 110
PORTLAND, OR
ZIP 97215
Phone: (503) 333-5213
Get Directions

POSITIVE DEVELOPMENT FOR YOUTH AND FAMILIES, INC. is a clinical child and adolescent psychologist in Portland, OR. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. POSITIVE DEVELOPMENT FOR YOUTH AND FAMILIES, INC. NPI is 1912530643. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Positive Development For Youth And Families.

The provider's business location address is:

4531 SE BELMONT ST STE 110
PORTLAND, OR
ZIP 97215-675
Phone: (503) 333-5213
Fax: (844) 774-3515

The provider's authorized official is Justin William Bush .
The authorized official title is Co-owner/licensed Psychlogist and has the following contact phone number (503) 333-5213.

The enumeration date for this NPI number is 2/21/2020 and was last updated on 2/21/2020.


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
1103TC2200XPsychologistClinical Child & AdolescentYes

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: 11/14/2023

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