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COURAGEOUS ROOTS INSTITUTE
NPI 1992443402
Psychologist - Clinical in Portland, OR

Active since May 24, 2022
1020 SW TAYLOR ST STE 855, PORTLAND, OR 97205(503) 388-3433 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Courageous Roots Institute NPPES

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

COURAGEOUS ROOTS INSTITUTE (NPI 1992443402) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since May 2022. The organization lists Andrea Millen, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1992443402
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCOURAGEOUS ROOTS INSTITUTE
Location Address1020 SW TAYLOR ST STE 855Portland, OR 97205-2570
Mailing Address1020 Sw Taylor St Ste 855Portland, OR 97205-2570 · (503) 388-3433
Phone(503) 388-3433
Organization SubpartNo
Authorized OfficialAndrea MillenClinical Psychologist · (503) 388-3433
Enumeration DateMay 24, 2022
Last NPPES UpdateJune 20, 2022
NPPES CertifiedJune 20, 2022
✔ NPI 1992443402 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.
1020 SW TAYLOR ST STE 855, Portland, OR 97205
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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

Other Providers at the Same Location NPPES 3

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

KIMBERLY COPPERSMITH PSY.D.
Psychologist (Clinical)
1020 SW TAYLOR ST STE 855
PORTLAND, OR 97205
Multnomah County (971) 303-9636
ANDREA MILLEN PSYD
Psychologist (Clinical)
1020 SW TAYLOR ST STE 855
PORTLAND, OR 97205
Multnomah County (503) 388-3433
VALUED INSIGHT PSYCHOTHERAPY, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1020 SW TAYLOR ST STE 855
PORTLAND, OR 97205
Multnomah County (971) 303-9636

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 Courageous Roots Institute's NPI number?

The NPI number for Courageous Roots Institute is 1992443402. It was assigned to this organization in the NPPES registry on May 24, 2022.

Where is Courageous Roots Institute located?

Courageous Roots Institute is located at 1020 SW Taylor St Ste 855, Portland, OR 97205. The listed phone number is (503) 388-3433.

What is Courageous Roots Institute's specialty?

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

When was this NPI record last updated?

The NPPES record for Courageous Roots Institute was last updated on June 20, 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.