GEROMEDICAL PSYCHOLOGICAL SERVICE PS
NPI 1659482925
Psychologist - Clinical in Vancouver, WA

Active since August 31, 2006
2400 MAIN ST, VANCOUVER, WA 98660(360) 574-9565(360) 574-9685 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Geromedical Psychological Service Ps NPPES

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

GEROMEDICAL PSYCHOLOGICAL SERVICE PS (NPI 1659482925) is a healthcare organization registered as a clinical in Vancouver, Washington and active in the NPI registry since August 2006. The organization maintains a secondary practice location in Vancouver and lists Derick A Scovel, V. President, as its authorized official.

NPPES Registry Identity

NPI1659482925
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameGEROMEDICAL PSYCHOLOGICAL SERVICE PS
Location Address2400 MAIN STVancouver, WA 98660-2663
Mailing Address2400 Main StVancouver, WA 98660-2663 · (360) 574-9565 · Fax (360) 574-9685
Fax(360) 574-9685
Organization SubpartNo
Authorized OfficialDerick A ScovelV. President · (360) 574-9565
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 17, 2020
NPPES CertifiedSeptember 17, 2020
✔ NPI 1659482925 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 WA · PY2484
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.
2400 MAIN ST, Vancouver, WA 98660

Secondary Practice Location 1

Location 110000 NE 7th Ave, Ste 215Vancouver, WA 98685-4542 · Phone (360) 574-9565 · Fax (360) 574-9685

Other Identifiers 2

Medicaid7127087WA
OtherDD6273WA · Rr Medicare

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Geromedical Psychological Service Ps is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Geromedical Psychological Service Ps, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Psychologist
NPI 1093817991
2400 MAIN ST
Vancouver, WA 98660
(360) 574-9565
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1407967813
10000 NE 7TH AVE STE 215
Vancouver, WA 98685
(360) 574-9565
✔ PECOS✔ Accepts Medicare3.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Geromedical Psychological Service Ps's NPI number?

The NPI number for Geromedical Psychological Service Ps is 1659482925. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Geromedical Psychological Service Ps located?

Geromedical Psychological Service Ps is located at 2400 Main St, Vancouver, WA 98660. The listed phone number is (360) 574-9565.

What is Geromedical Psychological Service Ps's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Geromedical Psychological Service Ps enrolled in Medicare?

Yes. Geromedical Psychological Service Ps is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Geromedical Psychological Service Ps?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Geromedical Psychological Service Ps. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Geromedical Psychological Service Ps accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Geromedical Psychological Service Ps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Geromedical Psychological Service Ps was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.