Beaverton Psychology Services LLC
NPI 1083905996 · Psychologist · Beaverton, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Beaverton Psychology Services LLC is a Psychologist organization in Beaverton, OR (NPI 1083905996).
Provider details
- NPI number
- 1083905996
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Terri Mishler, Manager(503) 526-2917
- License
- 811 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2011-04-26
- Last updated
- 2020-12-23
- Certified
- 2020-12-23
Frequently asked questions
- What is Beaverton Psychology Services LLC's NPI number?
- Beaverton Psychology Services LLC's National Provider Identifier (NPI) is 1083905996, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beaverton Psychology Services LLC?
- Beaverton Psychology Services LLC is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Beaverton Psychology Services LLC located?
- Beaverton Psychology Services LLC's practice location on file with NPPES is 16110 Sw Regatta Ln, Beaverton, OR 97006-8942.
- What is Beaverton Psychology Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Beaverton Psychology Services LLC is (503) 526-2917.
- Does Beaverton Psychology Services LLC accept Medicare?
- Beaverton Psychology Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Beaverton Psychology Services LLC?
- The authorized official listed on Beaverton Psychology Services LLC's NPPES record is Terri Mishler, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beaverton Psychology Services LLC's NPI active?
- Yes — Beaverton Psychology Services LLC's NPI (1083905996) is active in the NPPES registry as of the last update on 2020-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.