GEROMEDICAL PSYCHOLOGICAL SERVICE PS
NPI 1043501836
Psychologist - Clinical in Portland, OR

Q: What is Geromedical Psychological Service Ps's NPI number?

The NPI number for Geromedical Psychological Service Ps is 1043501836. It was assigned to this organization in the NPPES registry on April 27, 2011.

Q: What is Geromedical Psychological Service Ps's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since April 27, 2011

3550 SW BOND AVE, PORTLAND, OR 97239(360) 574-9565(360) 574-9685 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Geromedical Psychological Service Ps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEROMEDICAL PSYCHOLOGICAL SERVICE PS (NPI 1043501836) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since April 2011. The organization lists Derick A Scovel, President, as its authorized official.

NPPES Registry Identity

NPI1043501836

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameGEROMEDICAL PSYCHOLOGICAL SERVICE PS

Location Address3550 SW BOND AVEPortland, OR 97239-4507

Mailing Address2400 Main StVancouver, WA 98660-2663 · (360) 574-9565 · Fax (360) 574-9685

Phone(360) 574-9565

Fax(360) 574-9685

Organization SubpartNo

Authorized OfficialDerick A ScovelPresident · (360) 574-9565

Enumeration DateApril 27, 2011

Last NPPES UpdateSeptember 17, 2020

NPPES CertifiedSeptember 17, 2020

✔ NPI 1043501836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OR · 2074

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3550 SW BOND AVE, Portland, OR 97239

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAY LINDA FOUST COTA/L

Occupational Therapy Assistant

3550 SW BOND AVE, REHAB
PORTLAND, OR 97239

Multnomah County (503) 688-6573

STEVEN MASSINGALE PTA

Physical Therapy Assistant

3550 SW BOND AVE
PORTLAND, OR 97239

Multnomah County (503) 688-6573

DR. CURTIS HARTLING

Audiologist

3550 SW BOND AVE, SUITE 173
PORTLAND, OR 97239

Multnomah County (503) 418-2555

MRS. ERIN M LINGO PT

Physical Therapist

3550 SW BOND AVE
PORTLAND, OR 97239

Multnomah County (503) 245-4742

DR. CALVIN YUAN WAH LEE DPT

Physical Therapist

3550 SW BOND AVE
PORTLAND, OR 97239

Multnomah County (503) 688-6400

TRAVIS BARDEN

Occupational Therapy Assistant

3550 SW BOND AVE
PORTLAND, OR 97239

Multnomah County (503) 245-4742

DR. SHELLY E BOELTER AUD CCC-A

Audiologist

3550 SW BOND AVE, SUITE 173
PORTLAND, OR 97239

Multnomah County (503) 688-6590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Geromedical Psychological Service Ps's NPI number?

The NPI number for Geromedical Psychological Service Ps is 1043501836. It was assigned to this organization in the NPPES registry on April 27, 2011.

Where is Geromedical Psychological Service Ps located?

Geromedical Psychological Service Ps is located at 3550 SW Bond Ave, Portland, OR 97239. The listed phone number is (360) 574-9565.

What is Geromedical Psychological Service Ps's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Geromedical Psychological Service Ps was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.