Timothy D. Kopet, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

761 Issued in OR

Practice address

7505 SW Beveland Rd Ste 203
Tigard, OR 97223-8682

Phone

(503) 603-9982

Fax

(503) 684-1932

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1316078942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 SW BEVELAND RD STE 203",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238682",
            "telephone_number": "503-603-9982",
            "fax_number": "503-684-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 SW BEVELAND RD STE 203",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238682",
            "telephone_number": "503-603-9982",
            "fax_number": "503-684-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPET",
        "first_name": "TIMOTHY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "761",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OR",
            "license": "761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124961",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Portia Koll, OTD, OTR/L
• Caitlin Kolstad
• Shyam Abraham Kommukuri
• Briani Komoda
• Shane Kooken-Hover, L.M.T.
• Juliet Allison Korngut
• Abraham Korpoh
• Petia Kortcheva
• Mary Leanore Kost
• Phillip Kotlyarevskiy, PHARM D

• Clinical Child & Adolescent Psychologist in Tigard, OR
• Providers in Tigard, OR by specialty
• Clinical Child & Adolescent Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.