Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BANANA SLUG PSYCHOLOGICAL SERVICES LLC
NPI 1154233724
Psychologist - Clinical in Portland, OR

Q: What is Banana Slug Psychological Services LLC's specialty?

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

Active since September 18, 2026

809 N RUSSELL ST, PORTLAND, OR 97227(971) 225-6650 Get Directions Write a Review

NPPES record added: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Banana Slug Psychological Services Llc NPPES

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

BANANA SLUG PSYCHOLOGICAL SERVICES LLC (NPI 1154233724) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since September 2026. The organization lists Tupelo Keilly Witte, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1154233724

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameBANANA SLUG PSYCHOLOGICAL SERVICES LLC

Location Address809 N RUSSELL STPortland, OR 97227-1731

Mailing Address5441 S Macadam Ave Ste RPortland, OR 97239-3822 · (971) 225-6650

Phone(971) 225-6650

Organization SubpartNo

Authorized OfficialTupelo Keilly WitteClinical Psychologist · (971) 225-6650

Enumeration DateSeptember 18, 2026

NPPES CertifiedSeptember 18, 2026

✔ NPI 1154233724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

809 N RUSSELL ST, Portland, OR 97227

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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

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 Banana Slug Psychological Services LLC's NPI number?

The NPI number for Banana Slug Psychological Services LLC is 1154233724. It was assigned to this organization in the NPPES registry on September 18, 2026.

Where is Banana Slug Psychological Services LLC located?

Banana Slug Psychological Services LLC is located at 809 N Russell St, Portland, OR 97227. The listed phone number is (971) 225-6650.

What is Banana Slug Psychological Services LLC'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 Banana Slug Psychological Services LLC was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.