PSYCHOLOGICAL HEALTH SERVICES, P.C.
NPI 1205139854
Psychologist in Portland, OR

Active since December 20, 2010
10000 SE MAIN ST STE 148, PORTLAND, OR 97216(971) 678-3941(503) 252-2720 Get Directions Write a Review

NPPES record last updated: November 24, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Psychological Health Services, P.c. NPPES

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

PSYCHOLOGICAL HEALTH SERVICES, P.C. (NPI 1205139854) is a healthcare organization registered as a psychologist in Portland, Oregon and active in the NPI registry since December 2010. The organization lists Jonathan James Lundy, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1205139854
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NamePSYCHOLOGICAL HEALTH SERVICES, P.C.
Location Address10000 SE MAIN ST STE 148Portland, OR 97216-2462
Mailing AddressPo Box 92004Portland, OR 97292-2004 · (971) 678-3941 · Fax (503) 252-2720
Fax(503) 252-2720
Organization SubpartNo
Authorized OfficialJonathan James LundyPsychologist · (971) 678-3941
Enumeration DateDecember 20, 2010
Last NPPES UpdateNovember 24, 2013
✔ NPI 1205139854 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 · 612
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.
10000 SE MAIN ST STE 148, Portland, OR 97216

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Psychological Health Services, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Psychological Health Services, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Psychologist
NPI 1336215805
10000 SE MAIN ST STE 215
Portland, OR 97216
(503) 252-9690
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1245481043
216 CASCADE AVE STE 25
Hood River, OR 97031
(503) 855-0955
✔ PECOS✔ Accepts Medicare53 mi

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

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 Psychological Health Services, P.C.'s NPI number?

The NPI number for Psychological Health Services, P.C. is 1205139854. It was assigned to this organization in the NPPES registry on December 20, 2010.

Where is Psychological Health Services, P.C. located?

Psychological Health Services, P.C. is located at 10000 SE Main St Ste 148, Portland, OR 97216. The listed phone number is (971) 678-3941.

What is Psychological Health Services, P.C.'s specialty?

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

Is Psychological Health Services, P.C. enrolled in Medicare?

Yes. Psychological Health Services, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Psychological Health Services, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Psychological Health Services, P.C., in Clinical Psychologist and Clinical Social Worker. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Psychological Health Services, P.C. accept?

Health plans from Moda Health Plan, Inc. list Psychological Health Services, P.C. 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 Psychological Health Services, P.C. was last updated on November 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.