Individual provider Active NPI

Beth Diane French, PSY.D.

  • Psychologist
  • Gresham, OR
National Provider Identifier
1194814665
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1953 Issued in OR
Practice address
831 NW Council Dr Ste 300
Gresham, OR 97030-3725
Phone
(503) 258-4600
NPI assigned
Oct 12, 2006
Last updated
Jul 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1953 OR Primary

Addresses

Primary practice location

831 NW Council Dr Ste 300
Gresham, OR 97030-3725

Mailing address

831 NW Council Dr Ste 300
Gresham, OR 97030-3725
Phone (503) 258-4600

Other practice location 1

12636 SE Stark St
Plaza 125, Building J
Portland, OR 97233-1058
Phone (503) 866-6115

Other practice location 2

11035 NE Sandy Blvd
Portland, OR 97220
Phone (503) 258-4614

Other identifiers 1

IdentifierTypeStateIssuer
164936MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1953ORMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Morrison Child and Family Services Clinical PastSince Jan 12, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1194814665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 NW COUNCIL DR STE 300",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303725",
            "telephone_number": "503-258-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 NW COUNCIL DR STE 300",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303725",
            "telephone_number": "503-258-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12636 SE Stark St",
            "address_2": "Plaza 125, Building J",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972331058",
            "country_code": "US",
            "telephone_number": "503-866-6115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11035 NE Sandy Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97220",
            "country_code": "US",
            "telephone_number": "503-258-4614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRENCH",
        "first_name": "BETH",
        "middle_name": "DIANE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164936",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.