CLARK PAUL RECTOR PSY.D.
NPI 1063761716
Psychologist in Gresham, OR

Active since September 09, 2012PECOS EnrolledAccepts Medicare Assignment
1700 NW CIVIC DR, GRESHAM, OR 97030(503) 666-8832(503) 669-8641 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Clark Paul Rector Psy.d. NPPES

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

CLARK PAUL RECTOR PSY.D. (NPI 1063761716) is an individual psychologist in Gresham, Oregon, licensed in Oregon (3245) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1063761716
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameCLARK PAUL RECTORCredential: PSY.D.
Location Address1700 NW CIVIC DRGresham, OR 97030-3770
Mailing Address2728 Durant AveBerkeley, CA 94704-1725 · (707) 494-5840
Fax(503) 669-8641
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 9, 2012
Last NPPES UpdateMay 20, 2020
NPPES CertifiedMay 20, 2020
✔ NPI 1063761716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in OR · 3245
Definition
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.
1700 NW CIVIC DR, Gresham, OR 97030

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Clark Paul Rector Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355762725
PECOS Enrollment IDI20200617002862
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Clark Rector reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
2420 S UNION AVE
Tacoma, WA 98405
  • Reassigned Medicare billing, Oregon enrollment
  • 314 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 12

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

Counselor (Professional)
1700 NW CIVIC DR
GRESHAM, OR 97030
Counselor (Mental Health)
1700 NW CIVIC DR, SUITE 310
GRESHAM, OR 97030
Counselor (Professional)
1700 NW CIVIC DR, SUITE 310
GRESHAM, OR 97030
Marriage & Family Therapist
1700 NW CIVIC DR, SUITE 310
GRESHAM, OR 97030
Behavior Analyst
1700 NW CIVIC DR, 310
GRESHAM, OR 97030
Counselor (Mental Health)
1700 NW CIVIC DR, SUTIE 310
GRESHAM, OR 97030
Counselor (Professional)
1700 NW CIVIC DR, SUITE 310
GRESHAM, OR 97030
Counselor (Mental Health)
1700 NW CIVIC DR, SUITE 310
GRESHAM, OR 97030

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 Clark Rector's NPI number?

The NPI number for Clark Rector is 1063761716. It was assigned to this individual provider in the NPPES registry on September 9, 2012.

Where is Clark Rector located?

Clark Rector practices at 1700 NW Civic Dr, Gresham, OR 97030. The listed phone number is (503) 666-8832.

What is Clark Rector's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Clark Rector enrolled in Medicare?

Yes. Clark Rector is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Clark Rector's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clark Rector reassigns Medicare benefits to Western Psychological And Counseling Services LLC (Tacoma, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clark Rector's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clark Rector accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Clark Rector as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clark Rector was last updated on May 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.