DR. SERITA BACKSTRAND PSY.D
NPI 1265831705
Psychologist in Beaverton, OR
About Dr. Serita Backstrand Psy.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SERITA BACKSTRAND PSY.D (NPI 1265831705) is an individual psychologist in Beaverton, Oregon, licensed in Oregon (2933) and active in the NPI registry since August 2014. She has opted out of Medicare through May 20, 2028, maintains a secondary practice location in Vancouver, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Serita Backstrand Psy.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 20, 2026 through May 20, 2028.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BEAVERTON, OR 97006
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 Serita Backstrand's NPI number?
The NPI number for Serita Backstrand is 1265831705. It was assigned to this individual provider in the NPPES registry on August 21, 2014.
Where is Serita Backstrand located?
Serita Backstrand practices at 1791 NW 173rd Ave Ste 140, Beaverton, OR 97006. The listed phone number is (503) 533-9806.
What is Serita Backstrand's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Serita Backstrand enrolled in Medicare?
No. Serita Backstrand has opted out of Medicare through May 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Serita Backstrand 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 Serita Backstrand 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 Serita Backstrand was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.