NORTHWEST DBT LLC
NPI 1215574058
Psychologist - Clinical in Portland, OR

Q: What is Northwest Dbt LLC's NPI number?

The NPI number for Northwest Dbt LLC is 1215574058. It was assigned to this organization in the NPPES registry on November 27, 2019.

Q: What is Northwest Dbt LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Northwest Dbt LLC was last updated on November 27, 2019. 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.

Active since November 27, 2019

2230 NW PETTYGROVE ST., SUITE 130, PORTLAND, OR 97210(503) 963-6540(888) 965-8362 Get Directions Write a Review

NPPES record last updated: November 27, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Northwest Dbt Llc NPPES

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

NORTHWEST DBT LLC (NPI 1215574058) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since November 2019. The organization lists Tracy Marie Jendritza, Program Director, as its authorized official.

NPPES Registry Identity

NPI1215574058

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameNORTHWEST DBT LLC

Location Address2230 NW PETTYGROVE ST., SUITE 130Portland, OR 97210

Mailing Address2230 Nw Pettygrove St., Suite 130Portland, OR 97210 · (503) 963-6540 · Fax (888) 965-8362

Phone(503) 963-6540

Fax(888) 965-8362

Organization SubpartNo

Authorized OfficialTracy Marie JendritzaProgram Director · (503) 963-6540

Enumeration DateNovember 27, 2019

✔ NPI 1215574058 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.

2230 NW PETTYGROVE ST., Portland, OR 97210

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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 Northwest Dbt LLC's NPI number?

The NPI number for Northwest Dbt LLC is 1215574058. It was assigned to this organization in the NPPES registry on November 27, 2019.

Where is Northwest Dbt LLC located?

Northwest Dbt LLC is located at 2230 NW Pettygrove St. Suite 130, Portland, OR 97210. The listed phone number is (503) 963-6540.

What is Northwest Dbt 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 Northwest Dbt LLC was last updated on November 27, 2019. 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.