Individual provider Active NPI

Jodi Palensky, PH.D.

  • Psychologist
  • Portland, OR
National Provider Identifier
1295106482
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2306 Issued in OR
Practice address
7204 SW Durham Rd
Suite 100
Portland, OR 97224-7574
Phone
(503) 941-9869
Fax
(503) 352-5555
NPI assigned
Oct 13, 2015
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2306 OR Primary

Addresses

Primary practice location

7204 SW Durham Rd
Suite 100
Portland, OR 97224-7574

Mailing address

7204 SW Durham Rd
Suite 100
Portland, OR 97224-7574
Phone (503) 941-9869

Other identifiers 1

IdentifierTypeStateIssuer
500696953MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151203001688 OR Practitioner - Clinical Psychologist 8325348972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brain Rehab Network Oregon IncGroup PAC ID 8729400510, 11 clinicians

Practice addresses (Care Compare)

7204 SW Durham Rd
Suite 100
Portland, OR 97224-7574
Phone (503) 941-9869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Rehab Network Oregon, Inc. CurrentSince Jan 6, 2022 Accepting new patients
Qli Telerehabilitation, LLC Psychologist Past Accepting new patients

Locations

7204 SW Durham Rd
Ste 100
Tigard, OR 97224
Phone (503) 941-9869

Organizations & group practices 2

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": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295106482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7204 SW DURHAM RD",
            "address_2": "SUITE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247574",
            "telephone_number": "503-941-9869",
            "fax_number": "503-352-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7204 SW DURHAM RD",
            "address_2": "SUITE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247574",
            "telephone_number": "503-941-9869",
            "fax_number": "503-352-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALENSKY",
        "first_name": "JODI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "2306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500696953",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.