KENNEMER & SMITH PSYCHOLOGICAL SERVICES LLC
NPI 1962004358
Psychologist - Clinical in Oregon City, OR

Q: What is Kennemer & Smith Psychological Services LLC's specialty?

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

Active since November 11, 2020

619 MADISON ST STE 108, OREGON CITY, OR 97045(503) 303-4257(503) 387-3957 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2020, Nov 11, 2020 (2 updates tracked since 2020).

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About Kennemer & Smith Psychological Services Llc NPPES

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

KENNEMER & SMITH PSYCHOLOGICAL SERVICES LLC (NPI 1962004358) is a healthcare organization registered as a clinical in Oregon City, Oregon and active in the NPI registry since November 2020. The organization lists Alene Cerasuolo, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1962004358

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameKENNEMER & SMITH PSYCHOLOGICAL SERVICES LLC

Location Address619 MADISON ST STE 108Oregon City, OR 97045-2354

Mailing Address619 Madison St Ste 108Oregon City, OR 97045-2354 · (503) 303-4257 · Fax (503) 387-3957

Phone(503) 303-4257

Fax(503) 387-3957

Organization SubpartNo

Authorized OfficialAlene CerasuoloOffice Administrator · (503) 303-4257

Enumeration DateNovember 11, 2020

Last NPPES UpdateNovember 16, 20202 updates tracked since enumeration

NPPES CertifiedNovember 16, 2020

✔ NPI 1962004358 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.

619 MADISON ST STE 108, Oregon City, OR 97045

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Other Identifiers 1

Medicaid500602612OR

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 6

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

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