Psychological Health Services, P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

612 Issued in OR

Legal business name

PSYCHOLOGICAL HEALTH SERVICES, P.C.

Practice address

10000 SE Main St Ste 148
Portland, OR 97216-2462

Phone

(971) 678-3941

Fax

(503) 252-2720

NPI assigned

Dec 20, 2010

Last updated

Nov 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan James Lundy, PH.D.NPI 1336215805

Title

Psychologist

Phone

(971) 678-3941

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan James Lundy, PHD

  • Psychologist
  • Portland, OR
  • NPI 1336215805
  Medicare reassignment NPD Authorized official
• Sarah Jean Lundy, LCSW

  • Clinical Social Worker
  • Hood River, OR
  • NPI 1245481043
  Medicare reassignment NPD

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385251200000",
    "number": "1205139854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92004",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972922004",
            "telephone_number": "971-678-3941",
            "fax_number": "503-252-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST STE 148",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162462",
            "telephone_number": "971-678-3941",
            "fax_number": "503-252-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL HEALTH SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2013-11-24",
        "status": "A",
        "authorized_official_last_name": "LUNDY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "971-678-3941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Psomas, LMT
• Psyche in Soprano
• Psychiatric Care PC (Kathryn Flegel, MD)
• Psychmatters LLC
• Psychmed LLC
• Psychological Services Connection LLC
• Psychpod LLC
• Cara Pszczolkowski
• PT & OT of Oregon, LLC (Pacific Northwest Pediatric Therapy)
• Ashley Marie Ptaszynski

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2013; 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.