PACIFIC NORTHWEST PSYCHOLOGICAL SERVICES
NPI 1932838786
Clinic/Center - Adult Mental Health in Portland, OR

Active since June 07, 2022
1623 SE LEXINGTON ST, PORTLAND, OR 97202(503) 756-3982 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pacific Northwest Psychological Services NPPES

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

PACIFIC NORTHWEST PSYCHOLOGICAL SERVICES (NPI 1932838786) is a healthcare organization registered as an adult mental health in Portland, Oregon and active in the NPI registry since June 2022. The organization lists Stephen James Boyd, Owner, as its authorized official.

NPPES Registry Identity

NPI1932838786
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NamePACIFIC NORTHWEST PSYCHOLOGICAL SERVICES
Location Address1623 SE LEXINGTON STPortland, OR 97202-6106
Mailing Address1623 Se Lexington StPortland, OR 97202-6106
Organization SubpartNo
Authorized OfficialStephen James BoydOwner · (503) 756-3982
Enumeration DateJune 7, 2022
NPPES CertifiedJune 7, 2022
✔ NPI 1932838786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
1623 SE LEXINGTON ST, Portland, OR 97202

Other Identifiers 1

Other1295240190Npi

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)

Pacific Northwest Psychological Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pacific Northwest Psychological Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1033646484
1742 SE CLATSOP ST
Portland, OR 97202
(541) 232-1711
✔ PECOS✔ Accepts Medicare0.5 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 Pacific Northwest Psychological Services's NPI number?

The NPI number for Pacific Northwest Psychological Services is 1932838786. It was assigned to this organization in the NPPES registry on June 7, 2022.

Where is Pacific Northwest Psychological Services located?

Pacific Northwest Psychological Services is located at 1623 SE Lexington St, Portland, OR 97202. The listed phone number is (503) 756-3982.

What is Pacific Northwest Psychological Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Pacific Northwest Psychological Services enrolled in Medicare?

Yes. Pacific Northwest Psychological Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pacific Northwest Psychological Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Pacific Northwest Psychological Services. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pacific Northwest Psychological Services accept?

Health plans from Moda Health Plan, Inc. list Pacific Northwest Psychological Services 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 Pacific Northwest Psychological Services was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.