BRIDGE CITY BEHAVIORAL HEALTH LLC
NPI 1629944103
Psychologist - Clinical in Portland, OR

Active since October 13, 2025
5441 S MACADAM AVE STE N, PORTLAND, OR 97239(503) 512-0015 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bridge City Behavioral Health Llc NPPES

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

BRIDGE CITY BEHAVIORAL HEALTH LLC (NPI 1629944103) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since October 2025. The organization lists Ronn Jeffry Nelson, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1629944103
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameBRIDGE CITY BEHAVIORAL HEALTH LLC
Location Address5441 S MACADAM AVE STE NPortland, OR 97239-6106
Mailing Address5441 S Macadam Ave Ste NPortland, OR 97239-6106 · (503) 512-0015
Organization SubpartNo
Authorized OfficialRonn Jeffry NelsonClinical Psychologist · (503) 512-0015
Enumeration DateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
NPI 1629944103 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.
5441 S MACADAM AVE STE N, Portland, OR 97239

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.

Social Worker (Clinical)
5441 S MACADAM AVE STE N
PORTLAND, OR 97239
Preventive Medicine (Public Health & General Preventive Medicine)
5441 S MACADAM AVE STE N
PORTLAND, OR 97239
Counselor (Mental Health)
5441 S MACADAM AVE STE N
PORTLAND, OR 97239
Counselor (Mental Health)
5441 S MACADAM AVE STE N
PORTLAND, OR 97239
Psychiatry & Neurology (Psychiatry)
5441 S MACADAM AVE STE N
PORTLAND, OR 97239
Counselor
5441 S MACADAM AVE STE N, SUITE N
PORTLAND, OR 97239
Counselor (Mental Health)
5441 S MACADAM AVE STE N
PORTLAND, OR 97239
Counselor (Professional)
5441 S MACADAM AVE STE N
PORTLAND, OR 97239

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 Bridge City Behavioral Health LLC's NPI number?

The NPI number for Bridge City Behavioral Health LLC is 1629944103. It was assigned to this organization in the NPPES registry on October 13, 2025.

Where is Bridge City Behavioral Health LLC located?

Bridge City Behavioral Health LLC is located at 5441 S Macadam Ave Ste N, Portland, OR 97239. The listed phone number is (503) 512-0015.

What is Bridge City Behavioral Health 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 Bridge City Behavioral Health LLC was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.