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EMBODIED PSYCHOTHERAPY INC
NPI 1376963652
Psychologist - Clinical in Portland, OR

Active since April 24, 2014
3050 SE DIVISION ST, SUITE 210, PORTLAND, OR 97202(503) 577-2842 Get Directions Write a Review

NPPES record last updated: April 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Embodied Psychotherapy Inc NPPES

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

EMBODIED PSYCHOTHERAPY INC (NPI 1376963652) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since April 2014. The organization lists William Banjo Weymouth, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1376963652
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameEMBODIED PSYCHOTHERAPY INC
Location Address3050 SE DIVISION ST, SUITE 210Portland, OR 97202-1451
Mailing Address3050 Se Division St, Suite 210Portland, OR 97202-1451 · (503) 577-2842
Phone(503) 577-2842
Organization SubpartNo
Authorized OfficialWilliam Banjo WeymouthClinical Psychologist · (503) 577-2842
Enumeration DateApril 24, 2014
✔ NPI 1376963652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OR · 2135
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.
3050 SE DIVISION ST, Portland, OR 97202
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

MRS. ANDREA OTILIE LEHMAN MSW, LCSW
Social Worker (Clinical)
3050 SE DIVISION ST, SUITE 210
PORTLAND, OR 97202
Multnomah County (503) 539-6423
MRS. JADE ELIZABETH BRINGS PLENTY
Counselor (Professional)
3050 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 489-9280
TIMOTHY CRESPI L.P.C., C.A.D.C.
Counselor (Professional)
3050 SE DIVISION ST, SUITE 260
PORTLAND, OR 97202
Multnomah County (503) 754-5275
MARIA LYTLE
Counselor
3050 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 622-8964
SANDEEP VIJAY KUMAR LPC
Counselor (Professional)
3050 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (971) 277-1027
HEESEUNG KANG LPC, LMHC
Counselor (Mental Health)
3050 SE DIVISION ST
PORTLAND, OR 97202
Multnomah County (503) 622-8964
KERRY WEYMOUTH LCSW
Social Worker (Clinical)
3050 SE DIVISION ST, SUITE 210
PORTLAND, OR 97202
Multnomah County (503) 593-7469
CHRISTINA IRVINE PH.D.
Student in an Organized Health Care Education/Training Program
3050 SE DIVISION ST, STE 215
PORTLAND, OR 97202
Multnomah County (503) 715-6580

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 Embodied Psychotherapy Inc's NPI number?

The NPI number for Embodied Psychotherapy Inc is 1376963652. It was assigned to this organization in the NPPES registry on April 24, 2014.

Where is Embodied Psychotherapy Inc located?

Embodied Psychotherapy Inc is located at 3050 SE Division St Suite 210, Portland, OR 97202. The listed phone number is (503) 577-2842.

What is Embodied Psychotherapy Inc'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 Embodied Psychotherapy Inc was last updated on April 24, 2014. 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.