Northwest Psychological Center PC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

NORTHWEST PSYCHOLOGICAL CENTER PC

Practice address

15 82ND Dr.
Suite 240
Gladstone, OR 97027-2558

Phone

(503) 652-2810

Fax

(503) 652-8553

NPI assigned

Nov 9, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph Ghattas Hadeed, PH.D.NPI 1982874632

Title

Psychologist/ Owner

Phone

(503) 652-2810

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Ghattas Hadeed, PH.D.

  • Psychologist
  • Gladstone, OR
  • NPI 1982874632
  Medicare reassignment Care Compare group Authorized official
• Jason Scott Blei, LMFT

  • Marriage & Family Therapist
  • Gladstone, OR
  • NPI 1235221383
  Medicare reassignment Care Compare group
• Christina Hadeed

  • Mental Health Counselor
  • Portland, OR
  • NPI 1245768118
  NPD (past)
• Kimberly M. Jayne, PHD, LPC

  • Professional Counselor
  • Milwaukie, OR
  • NPI 1710398425
  NPD (past)
• David John Kohler, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1164404836
  NPD (past)
• Timothy Pavlatos, M.S.

  • Professional Counselor
  • Milwaukie, OR
  • NPI 1427487628
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1144201807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 82ND DR STE 20",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272563",
            "telephone_number": "503-652-2810",
            "fax_number": "503-652-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 82ND DR.",
            "address_2": "SUITE 240",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272558",
            "telephone_number": "503-652-2810",
            "fax_number": "503-652-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PSYCHOLOGICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "HADEED",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "GHATTAS",
        "authorized_official_title_or_position": "PSYCHOLOGIST/ OWNER",
        "authorized_official_telephone_number": "503-652-2810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1151",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067517",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "072662",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BC/BS OF OREGON",
            "identifier": "089784001",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE BEHAVIORAL HEA",
            "identifier": "OR030417",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie G Nelson II, MSW
• Rachel Newton, M.A.
• Mary L Nichols
• Northwest Behavioral Healthcare
• Northwest Mental Health Management Services, Inc.
• Ifeyinwa Irene Nwerem
• Dr. Amber Renea O'Neill Smith, PHD
• Open Arms PDX LLC
• Eric James Overby, CADC-R
• Aaron Todd Overman, PH.D.

• Psychologist in Gladstone, OR
• Providers in Gladstone, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.