Individual provider Active NPI

Terry Jenkins, PSYD

  • Psychologist
  • Tigard, OR
National Provider Identifier
1346209541
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1244 Issued in OR
Practice address
12008 SW Garden PL
Tigard, OR 97223-8263
Phone
(503) 786-2171
Fax
(503) 794-5905
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1244 OR Primary

Addresses

Primary practice location

12008 SW Garden PL
Tigard, OR 97223-8263

Mailing address

12008 SW Garden PL
Portland, OR 97223-8263
Phone (503) 740-7589

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
I20070517000100 OR Practitioner - Clinical Psychologist 8628175189 Practice locations: Happy Valley, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Skyhook Fitness CurrentSince Nov 18, 2025 Accepting new patients
Skyhook Counseling Center LLC CurrentSince Jan 26, 2020 Accepting new patients

Locations

12008 SW Garden Pl
Tigard, OR 97223
Phone (503) 352-9863

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1346209541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12008 SW GARDEN PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238263",
            "telephone_number": "503-740-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12008 SW GARDEN PL",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238263",
            "telephone_number": "503-786-2171",
            "fax_number": "503-794-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "TERRY",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.