| Northwest Psychological Center Pc | |
|
15 82nd Dr. Suite 240 Gladstone OR 97027-2558 | |
| (503) 652-2810 | |
| (503) 652-8553 |
| Full Name | Northwest Psychological Center Pc |
|---|---|
| Speciality | Psychologist |
| Location | 15 82nd Dr., Gladstone, Oregon |
| Authorized Official Name and Position | Joseph Ghattas Hadeed (PSYCHOLOGIST/ OWNER) |
| Authorized Official Contact | 5036522810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Psychological Center Pc 15 82nd Dr. Suite 240 Gladstone OR 97027-2558 Ph: (503) 652-2810 | Northwest Psychological Center Pc 15 82nd Dr. Suite 240 Gladstone OR 97027-2558 Ph: (503) 652-2810 |
| NPI Number | 1144201807 |
|---|---|
| Provider Enumeration Date | 11/09/2005 |
| Last Update Date | 01/11/2023 |
| Certification Date | 01/11/2023 |
| Medicare PECOS PAC ID | 1052382967 |
|---|---|
| Medicare Enrollment ID | O20040804000601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144201807 | NPI | - | NPPES |
| 072662 | Other | OR | MANAGED HEALTH NETWORK |
| 089784001 | Other | OR | REGENCE BC/BS OF OREGON |
| 067517 | Medicaid | OR | |
| OR030417 | Other | OR | PACIFICARE BEHAVIORAL HEA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1151 (Oregon) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| Provider Name | Joseph G Hadeed |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982874632 PECOS PAC ID: 9032294459 Enrollment ID: I20121018000078 |
| Provider Name | Jason Scott Blei |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1235221383 PECOS PAC ID: 0749632305 Enrollment ID: I20240118003898 |
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