INTEGRATED PSYCHOLOGICAL SERVICES OF THE PACIFIC NORTHWEST
NPI 1962071647
Clinic/Center - Mental Health (Including Community Mental Health Center) in Portland, OR
About Integrated Psychological Services Of The Pacific Northwest NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATED PSYCHOLOGICAL SERVICES OF THE PACIFIC NORTHWEST (NPI 1962071647), doing business as Portland Pain Psychology, is a healthcare organization registered as a mental health (including community mental health center) in Portland, Oregon and active in the NPI registry since June 2021. The organization maintains a secondary practice location in Portland and lists Dennis Kurtz, Operations Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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)
Integrated Psychological Services Of The Pacific Northwest is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Integrated Psychological Services Of The Pacific Northwest, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Integrated Psychological Services Of The Pacific Northwest's NPI number?
The NPI number for Integrated Psychological Services Of The Pacific Northwest is 1962071647. It was assigned to this organization in the NPPES registry on June 17, 2021. The provider is doing business as Portland Pain Psychology.
Where is Integrated Psychological Services Of The Pacific Northwest located?
Integrated Psychological Services Of The Pacific Northwest is located at 1130 NW 12th Ave Apt 614, Portland, OR 97209. The listed phone number is (503) 505-7227.
What is Integrated Psychological Services Of The Pacific Northwest's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Integrated Psychological Services Of The Pacific Northwest enrolled in Medicare?
Yes. Integrated Psychological Services Of The Pacific Northwest is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integrated Psychological Services Of The Pacific Northwest?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Integrated Psychological Services Of The Pacific Northwest, in Clinical Psychologist and Mental Health Counselor. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Integrated Psychological Services Of The Pacific Northwest accept?
Health plans from Moda Health Plan, Inc. list Integrated Psychological Services Of The Pacific Northwest 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 Integrated Psychological Services Of The Pacific Northwest was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Integrated Psychological Services Of The Pacific Northwest · NPI 1962071647
Mental Health (Including Community Mental Health Center) organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since June 17, 2021.
## Identity
- **NPI:** 1962071647 (Entity type: Organization)
- **Enumerated:** June 17, 2021
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Also known as:** Portland Pain Psychology (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Dennis Kurtz, OPERATIONS MANAGER
## Practice location
- **Address:** 1130 NW 12TH AVE APT 614, Portland, OR 97209-2860
- **Phone:** (503) 505-7227 · **Fax:** (503) 564-0739
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (1), Mental Health Counselor (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1962071647) · Data from the CMS NPPES public registry.