SCOTT CABOT WILLIS, PHD PC
NPI 1962636860
Psychologist - Clinical in Tigard, OR

Q: What is Scott Cabot Willis, Phd PC's NPI number?

The NPI number for Scott Cabot Willis, Phd PC is 1962636860. It was assigned to this organization in the NPPES registry on May 6, 2009.

Q: What is Scott Cabot Willis, Phd PC's specialty?

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

Active since May 06, 2009

7157 SW BEVELAND RD, SUITE 100, TIGARD, OR 97223(503) 547-9505 Get Directions Write a Review

NPPES record last updated: January 17, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Scott Cabot Willis, Phd Pc NPPES

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

SCOTT CABOT WILLIS, PHD PC (NPI 1962636860) is a healthcare organization registered as a clinical in Tigard, Oregon and active in the NPI registry since May 2009. The organization lists Scott Cabot Willis, President, as its authorized official.

NPPES Registry Identity

NPI1962636860

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSCOTT CABOT WILLIS, PHD PC

Location Address7157 SW BEVELAND RD, SUITE 100Tigard, OR 97223-9628

Mailing Address7157 Sw Beveland Rd, Suite 100Tigard, OR 97223-9628 · (503) 547-9505

Phone(503) 547-9505

Organization SubpartNo

Authorized OfficialScott Cabot WillisPresident · (503) 547-9505

Enumeration DateMay 6, 2009

Last NPPES UpdateJanuary 17, 2013

✔ NPI 1962636860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OR · 919

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.

7157 SW BEVELAND RD, Tigard, OR 97223

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott Cabot Willis, Phd Pc 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 Scott Cabot Willis, Phd PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Scott Willis, PH.D.

Clinical Psychologist

NPI 1679566848

7157 SW BEVELAND RD SUITE 100
Tigard, OR 97223

(503) 547-9505

✔ PECOS✔ Accepts MedicareSame address

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 Scott Cabot Willis, Phd PC's NPI number?

The NPI number for Scott Cabot Willis, Phd PC is 1962636860. It was assigned to this organization in the NPPES registry on May 6, 2009.

Where is Scott Cabot Willis, Phd PC located?

Scott Cabot Willis, Phd PC is located at 7157 SW Beveland Rd Suite 100, Tigard, OR 97223. The listed phone number is (503) 547-9505.

What is Scott Cabot Willis, Phd PC's specialty?

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

Is Scott Cabot Willis, Phd PC enrolled in Medicare?

Yes. Scott Cabot Willis, Phd PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scott Cabot Willis, Phd PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Scott Cabot Willis, Phd PC. 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.

When was this NPI record last updated?

The NPPES record for Scott Cabot Willis, Phd PC was last updated on January 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.