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360 PEDIATRIC PSYCHOLOGY, PC
NPI 1902208846
Psychologist - Clinical Child & Adolescent in Lake Oswego, OR

Active since September 23, 2014
201 B AVE., SUITE #285, LAKE OSWEGO, OR 97034(503) 636-0508(503) 636-0387 Get Directions Write a Review

NPPES record last updated: September 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 360 Pediatric Psychology, Pc NPPES

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

360 PEDIATRIC PSYCHOLOGY, PC (NPI 1902208846) is a healthcare organization registered as a clinical child & adolescent in Lake Oswego, Oregon and active in the NPI registry since September 2014. The organization lists Tabitha Sereua Becker, Clinical Psychologist Coowner/partn, as its authorized official.

NPPES Registry Identity

NPI1902208846
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business Name360 PEDIATRIC PSYCHOLOGY, PC
Location Address201 B AVE., SUITE #285Lake Oswego, OR 97034
Mailing Address201 B Ave., Suite #285Lake Oswego, OR 97034 · (503) 636-0508 · Fax (503) 636-0387
Phone(503) 636-0508
Fax(503) 636-0387
Organization SubpartNo
Authorized OfficialTabitha Sereua BeckerClinical Psychologist Coowner/partn · (503) 720-9234
Enumeration DateSeptember 23, 2014
✔ NPI 1902208846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X
201 B AVE., Lake Oswego, OR 97034
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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

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 360 Pediatric Psychology, PC's NPI number?

The NPI number for 360 Pediatric Psychology, PC is 1902208846. It was assigned to this organization in the NPPES registry on September 23, 2014.

Where is 360 Pediatric Psychology, PC located?

360 Pediatric Psychology, PC is located at 201 B Ave. Suite #285, Lake Oswego, OR 97034. The listed phone number is (503) 636-0508.

What is 360 Pediatric Psychology, PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for 360 Pediatric Psychology, PC was last updated on September 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.