1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Psychologist
  6. NPI Profile

COLLECTIVE CARE CLINIC, LLC
NPI 1780221499
Psychologist - Cognitive & Behavioral in Portland, OR

Active since December 02, 2019
1130 SW MORRISON ST STE 619, PORTLAND, OR 97205(503) 313-0028 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Collective Care Clinic, Llc NPPES

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

COLLECTIVE CARE CLINIC, LLC (NPI 1780221499) is a healthcare organization registered as a cognitive & behavioral in Portland, Oregon and active in the NPI registry since December 2019. The organization lists Jill Ashley Davidson, Psychologist / Owner, as its authorized official.

NPPES Registry Identity

NPI1780221499
Entity TypeOrganization
Primary Taxonomy103TB0200X
Legal Business NameCOLLECTIVE CARE CLINIC, LLC
Location Address1130 SW MORRISON ST STE 619Portland, OR 97205-2217
Mailing Address1130 Sw Morrison St Ste 619Portland, OR 97205-2217 · (503) 313-0028
Phone(503) 313-0028
Organization SubpartNo
Authorized OfficialJill Ashley DavidsonPsychologist / Owner · (503) 313-0028
Enumeration DateDecember 2, 2019
✔ NPI 1780221499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
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.
1130 SW MORRISON ST STE 619, Portland, OR 97205
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 7

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

PORTLAND ANXIETY CLINIC
Counselor (Mental Health)
1130 SW MORRISON ST STE 619
PORTLAND, OR 97205
Multnomah County (503) 313-0028
ANNETTE LYNN CANTU PHD
Psychologist (Clinical)
1130 SW MORRISON ST STE 619
PORTLAND, OR 97205
Multnomah County (512) 903-2257
DR. ALLISON BRANDT PHD
Psychologist (Clinical)
1130 SW MORRISON ST STE 619
PORTLAND, OR 97205
Multnomah County (503) 894-9630
SEAN AARON PHD
Psychologist (Clinical)
1130 SW MORRISON ST STE 619
PORTLAND, OR 97205
Multnomah County (503) 894-9630
DR. EDMUND JAMES LABARBARA PSY.D
Psychologist
1130 SW MORRISON ST STE 619
PORTLAND, OR 97205
Multnomah County (971) 910-4105
KATHERINE SUTHERLAND STURGES MA, LPC, NCC
Counselor (Professional)
1130 SW MORRISON ST STE 619
PORTLAND, OR 97205
Multnomah County (503) 333-8534
LEIGHTON FINK PHD
Psychologist
1130 SW MORRISON ST STE 619
PORTLAND, OR 97205
Multnomah County (503) 352-2400

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 Collective Care Clinic, LLC's NPI number?

The NPI number for Collective Care Clinic, LLC is 1780221499. It was assigned to this organization in the NPPES registry on December 2, 2019.

Where is Collective Care Clinic, LLC located?

Collective Care Clinic, LLC is located at 1130 SW Morrison St Ste 619, Portland, OR 97205. The listed phone number is (503) 313-0028.

What is Collective Care Clinic, LLC's specialty?

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

What insurance does Collective Care Clinic, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Collective Care Clinic, LLC 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 Collective Care Clinic, LLC was last updated on December 2, 2019. 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.