| Psychological Services Connection Llc | |
|
811 Sw 6th Ave Ste 1000 Portland OR 97204-1345 | |
| (503) 334-3035 | |
| (503) 961-9212 |
| Full Name | Psychological Services Connection Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 811 Sw 6th Ave Ste 1000, Portland, Oregon |
| Authorized Official Name and Position | Julie Keanaaina (OWNER) |
| Authorized Official Contact | 5039277724 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Services Connection Llc 811 Sw 6th Ave Ste 1000 Portland OR 97204-1345 Ph: (503) 334-3035 | Psychological Services Connection Llc 811 Sw 6th Ave Ste 1000 Portland OR 97204-1345 Ph: (503) 334-3035 |
| NPI Number | 1275260465 |
|---|---|
| Provider Enumeration Date | 08/07/2022 |
| Last Update Date | 01/26/2023 |
| Certification Date | 01/26/2023 |
| Medicare PECOS PAC ID | 7416317789 |
|---|---|
| Medicare Enrollment ID | O20230718002835 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275260465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Julie A Keanaaina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780987511 PECOS PAC ID: 4587816251 Enrollment ID: I20121203000203 |
| Provider Name | Dawn S Whitman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295874543 PECOS PAC ID: 3274718499 Enrollment ID: I20181116001865 |
| Provider Name | Ethan Waranch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053764886 PECOS PAC ID: 2961861273 Enrollment ID: I20230705002505 |
| Provider Name | Molly Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720431661 PECOS PAC ID: 7214381243 Enrollment ID: I20230926000323 |
| Provider Name | Kathryn Conyers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750949343 PECOS PAC ID: 3072966431 Enrollment ID: I20240201001843 |
| Provider Name | Hannah Trueromero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801208384 PECOS PAC ID: 6608219688 Enrollment ID: I20240206004627 |
| Provider Name | Jill Denise Henion |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1982185500 PECOS PAC ID: 5890138440 Enrollment ID: I20240209003899 |
| Provider Name | Jared Dominguez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760032924 PECOS PAC ID: 4082057559 Enrollment ID: I20240212003343 |
| Provider Name | Sarah Liang |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427466077 PECOS PAC ID: 1355786997 Enrollment ID: I20240305002007 |
| Provider Name | Summer Krause |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043346349 PECOS PAC ID: 6204275290 Enrollment ID: I20240424000882 |
| Provider Name | Alisa Rachelle Karmel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487219424 PECOS PAC ID: 9931549011 Enrollment ID: I20240507000714 |
Sandra M. Gonzalez Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Sw Morrison St, Suite 411, Portland, OR 97205 Phone: 503-228-0939 Fax: 503-226-8069 | |
Cascadia Behavioral Healthcare, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9125 Sw 55th Ave, Portland, OR 97219 Phone: 503-238-0769 Fax: 503-477-4598 | |
Edwards Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Sw Morrison St, Suite 1100, Portland, OR 97205 Phone: 503-222-0557 | |
Wellpath Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Se Milwaukie Ave Ste D, Portland, OR 97202 Phone: 503-784-2377 | |
Daniel C Donohue, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2931 Ne Broadway St, Portland, OR 97232 Phone: 503-819-2515 | |
Cultivating A New Life Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Se Spokane St Ste 300, Portland, OR 97202 Phone: 541-904-0468 | |
Tiffany Kettermann, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2926 Ne Flanders St Ste 3c, Portland, OR 97232 Phone: 971-270-0167 |