Active NPI
Play2Grow Behavioral Therapy
- Clinical Psychologist
- Tualatin, OR
National Provider Identifier
1306229596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1948
- Legal business name
- PLAY2GROW BEHAVIORAL THERAPY
- Practice address
- 8050 SW Warm Springs St Ste 130
Tualatin, OR 97062-7401 - Phone
- (503) 564-0565
- NPI assigned
- Jul 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carol Markovics, PHD
- Title
- Clinical Psychologist
- Phone
- (503) 563-5280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1948 | OR | Primary |
Addresses
Primary practice location
8050 SW Warm Springs St Ste 130
Tualatin, OR 97062-7401
Mailing address
8050 SW Warm Springs St Ste 130
Tualatin, OR 97062-7401
Phone (503) 564-0565
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436227200000",
"number": "1306229596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8050 SW WARM SPRINGS ST STE 130",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970627401",
"telephone_number": "503-564-0565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8050 SW WARM SPRINGS ST STE 130",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970627401",
"telephone_number": "503-564-0565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLAY2GROW BEHAVIORAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-07",
"last_updated": "2015-07-07",
"status": "A",
"authorized_official_last_name": "MARKOVICS",
"authorized_official_first_name": "CAROL",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "503-563-5280",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "1948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.