Active NPI
Elizabeth A Beswick, PSYD
- Clinical Psychologist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3549
- Practice address
- 12400 NW Cornell Rd Ste 100
Portland, OR 97229-5689 - Phone
- (503) 291-4000
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3882 | AZ | |
| Clinical Psychologist | 103TC0700X | 3549 | OR | Primary |
Addresses
Primary practice location
12400 NW Cornell Rd Ste 100
Portland, OR 97229-5689
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
Other practice location 1
430 W Warner Rd
Suite 104
Tempe, AZ 85284-2965
Phone (602) 769-9202
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12400 NW Cornell Rd
Suite 100
Portland, OR 97229-5689
Phone (503) 626-0939
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3882 | AZ | MD | Clinical Psychologist |
| 3549 | OR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Banner Behavioral Health - East Valley | Past | Accepting new patients | |
| Banner Heart Hospital | Past | Accepting new patients | |
| Banner Psychological Services | Past | Accepting new patients |
Locations
200 S Hazel Dell Way
Canby, OR 97013
Phone (203) 263-9500
70 Bower Dr
Medford, OR 97501
Phone (541) 732-8360
940 Royal Ave
Unit 350
Medford, OR 97504
Phone (541) 732-7460
9205 SW Barnes Rd
Ste 2800
Portland, OR 97225
Phone (503) 216-2621
12400 NW Cornell Rd
Ste 100
Portland, OR 97229
Phone (503) 291-4000
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
12442 SW Scholls Ferry Rd
Ste 100
Tigard, OR 97223
Phone (503) 215-9900
Organizations & group practices 9
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.
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Family Medicine Physician
- Medford, OR
- NPI 1568547503
-
- Clinic/Center
- Phoenix, OR
- NPI 1992882500
-
- Hospitalist Physician
- Medford, OR
- NPI 1093894511
-
- Internal Medicine Physician
- Portland, OR
- NPI 1447371117
-
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
-
- Health Service Clinic/Center
- Mesa, AZ
- NPI 1447292214
-
- Special Hospital
- Mesa, AZ
- NPI 1215961248
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gilbert, AZ
- NPI 1831378793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1356550362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158",
"telephone_number": "503-215-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12400 NW CORNELL RD STE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972295689",
"telephone_number": "503-291-4000"
}
],
"practiceLocations": [
{
"address_1": "430 W Warner Rd",
"address_2": "Suite 104",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "852842965",
"country_code": "US",
"telephone_number": "602-769-9202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BESWICK",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "3882",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "3549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.