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PSYCHMED LLC
NPI 1477862142
Psychologist - Clinical in Portland, OR

Active since September 29, 2010
2354 SE 59TH AVE, PORTLAND, OR 97215(503) 516-9308 Get Directions Write a Review

NPPES record last updated: September 29, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Psychmed Llc NPPES

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

PSYCHMED LLC (NPI 1477862142) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since September 2010. The organization lists Patrice D Carrello, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1477862142
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePSYCHMED LLC
Location Address2354 SE 59TH AVEPortland, OR 97215-4018
Mailing AddressPo Box 12745Salem, OR 97309-0745 · (503) 516-9308
Phone(503) 516-9308
Organization SubpartNo
Authorized OfficialPatrice D CarrelloClinical Psychologist · (503) 516-9308
Enumeration DateSeptember 29, 2010
✔ NPI 1477862142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OR · 1626
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.
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X
2354 SE 59TH AVE, Portland, OR 97215
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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

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

DR. PATRICE DEIDRE CARRELLO PH.D.
Psychologist (Clinical)
2354 SE 59TH AVE
PORTLAND, OR 97215
Multnomah County (541) 500-8655

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 Psychmed LLC's NPI number?

The NPI number for Psychmed LLC is 1477862142. It was assigned to this organization in the NPPES registry on September 29, 2010.

Where is Psychmed LLC located?

Psychmed LLC is located at 2354 SE 59th Ave, Portland, OR 97215. The listed phone number is (503) 516-9308.

What is Psychmed 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 Psychmed LLC was last updated on September 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.