OrganizationActive
Northwest Dbt LLC
NPI 1215574058 · Clinical Psychologist · Portland, OR
Provider details
- NPI number
- 1215574058
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Tracy Jendritza, Program Director(503) 963-6540
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
2230 Nw Pettygrove St.
Suite 130
Portland, OR 97210
Phone: (503) 963-6540
Fax: (888) 965-8362
Street-level locationGet directions
Mailing address
2230 Nw Pettygrove St.
Portland, OR 97210
Registry dates
- Enumerated
- 2019-11-27
- Last updated
- 2019-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.