OrganizationActive
Geromedical Psychological Service Ps
NPI 1043501836 · Clinical Psychologist · Portland, OR
Provider details
- NPI number
- 1043501836
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Derick Scovel, President(360) 574-9565
- License
- 2074 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3550 Sw Bond Ave
Portland, OR 97239-4507
Phone: (360) 574-9565
Fax: (360) 574-9685
Street-level locationGet directions
Mailing address
2400 Main St
Vancouver, WA 98660-2663
Registry dates
- Enumerated
- 2011-04-27
- Last updated
- 2020-09-17
- Certified
- 2020-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.