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DR. JERUSHA BETH DETWEILER-BEDELL PH.D.
NPI 1346574449
Psychologist - Cognitive & Behavioral in Portland, OR

Active since September 23, 2009Opted out of Medicare · through Jan 5, 2027
5440 SW WESTGATE DR., #175, PORTLAND, OR 97221(971) 645-0033(503) 297-5744 Get Directions Write a Review

NPPES record last updated: September 29, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jerusha Beth Detweiler-bedell Ph.d. NPPES

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

DR. JERUSHA BETH DETWEILER-BEDELL PH.D. (NPI 1346574449) is an individual cognitive & behavioral provider in Portland, Oregon, licensed in Oregon (1908) and active in the NPI registry since September 2009. She has opted out of Medicare through January 5, 2027.

NPPES Registry Identity

NPI1346574449
Entity TypeIndividualFemale
Primary Taxonomy103TB0200X
Provider Legal NameDR. JERUSHA BETH DETWEILER-BEDELLCredential: PH.D.
Location Address5440 SW WESTGATE DR., #175Portland, OR 97221-2436
Mailing Address5440 Sw Westgate Dr., #175Portland, OR 97221-2436 · (971) 645-0033 · Fax (503) 297-5744
Phone(971) 645-0033
Fax(503) 297-5744
Sole ProprietorYes
Enumeration DateSeptember 23, 2009
Last NPPES UpdateSeptember 29, 2009
✔ NPI 1346574449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in OR · 1908
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
5440 SW WESTGATE DR., Portland, OR 97221
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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. Jerusha Beth Detweiler-bedell Ph.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 January 5, 2023 through January 5, 2027.

Opt-Out Effective DateJanuary 5, 2023
Opt-Out In Effect ThroughJanuary 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Jerusha Detweiler-bedell's NPI number?

The NPI number for Jerusha Detweiler-bedell is 1346574449. It was assigned to this individual provider in the NPPES registry on September 23, 2009.

Where is Jerusha Detweiler-bedell located?

Jerusha Detweiler-bedell practices at 5440 SW Westgate Dr. #175, Portland, OR 97221. The listed phone number is (971) 645-0033.

What is Jerusha Detweiler-bedell's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Jerusha Detweiler-bedell enrolled in Medicare?

No. Jerusha Detweiler-bedell has opted out of Medicare through January 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jerusha Detweiler-bedell was last updated on September 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.