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REVERIE PSYCHOTHERAPY LLC
NPI 1295453686
Psychologist - Clinical in Beaverton, OR

Active since August 22, 2022
1500 NW BETHANY BLVD STE 200, BEAVERTON, OR 97006(503) 966-2395 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Reverie Psychotherapy Llc NPPES

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

REVERIE PSYCHOTHERAPY LLC (NPI 1295453686) is a healthcare organization registered as a clinical in Beaverton, Oregon and active in the NPI registry since August 2022. The organization lists Priscilla Shim, Owner And Sole Member, as its authorized official.

NPPES Registry Identity

NPI1295453686
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameREVERIE PSYCHOTHERAPY LLC
Location Address1500 NW BETHANY BLVD STE 200Beaverton, OR 97006-5236
Mailing Address1500 Nw Bethany Blvd Ste 200Beaverton, OR 97006-5236
Phone(503) 966-2395
Organization SubpartNo
Authorized OfficialPriscilla ShimOwner And Sole Member · (503) 966-2395
Enumeration DateAugust 22, 2022
NPPES CertifiedAugust 21, 2022
✔ NPI 1295453686 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.
1500 NW BETHANY BLVD STE 200, Beaverton, OR 97006
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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

Other Providers at the Same Location NPPES 20

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

ALYSSA AURISY PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1500 NW BETHANY BLVD STE 200
BEAVERTON, OR 97006
Washington County (503) 741-2735
ZENEBE GEDAMU
Nurse Practitioner (Psychiatric/Mental Health)
1500 NW BETHANY BLVD STE 200
BEAVERTON, OR 97006
Washington County (503) 385-2918
DR. SPENCER L GRIFFITH PSY.D.
Psychologist (Clinical)
1500 NW BETHANY BLVD STE 200
BEAVERTON, OR 97006
Washington County (503) 781-9085
LYDIA C WARNER FNP-BC
Nurse Practitioner (Family)
1500 NW BETHANY BLVD STE 200
BEAVERTON, OR 97006
Washington County (503) 708-0523
CLAUDIA BYRNE PH.D.
Psychologist
1500 NW BETHANY BLVD STE 200
BEAVERTON, OR 97006
Washington County (512) 709-8311
OCEANIC HEALTH GROUP LLC
Psychiatry & Neurology (Psychiatry)
1500 NW BETHANY BLVD STE 200
BEAVERTON, OR 97006
Washington County (612) 423-3606
YORA, LLC
Massage Therapist
1500 NW BETHANY BLVD STE 200
BEAVERTON, OR 97006
Washington County (971) 275-0298
LIN HEALTH MEDICAL GROUP OF OREGON, P.C.
Pain Medicine (Pain Medicine)
1500 NW BETHANY BLVD STE 200
BEAVERTON, OR 97006
Washington County (888) 691-5818

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 Reverie Psychotherapy LLC's NPI number?

The NPI number for Reverie Psychotherapy LLC is 1295453686. It was assigned to this organization in the NPPES registry on August 22, 2022.

Where is Reverie Psychotherapy LLC located?

Reverie Psychotherapy LLC is located at 1500 NW Bethany Blvd Ste 200, Beaverton, OR 97006. The listed phone number is (503) 966-2395.

What is Reverie Psychotherapy 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 Reverie Psychotherapy LLC was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.