Organization Active NPI

Forest Psychological Clinic

  • Clinical Psychologist
  • Lake Oswego, OR
National Provider Identifier
1457058166
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
FOREST PSYCHOLOGICAL CLINIC
Practice address
15110 Boones Ferry Rd Ste 150
Lake Oswego, OR 97035-3486
Phone
(971) 331-1366
Fax
(971) 715-0387
NPI assigned
Feb 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Dr. James Thatcher, PSYDNPI 1447669924
Title
Clinical Director
Phone
(971) 353-1145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

15110 Boones Ferry Rd Ste 150
Lake Oswego, OR 97035-3486

Mailing address

15110 Boones Ferry Rd Ste 150
Lake Oswego, OR 97035-3486
Phone (971) 331-1366

National Provider Directory

National Provider Directory

Locations

15110 Boones Ferry Rd
Ste 150
Lake Oswego, OR 97035
Phone (503) 395-7592

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1457058166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15110 BOONES FERRY RD STE 150",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353486",
            "telephone_number": "971-331-1366",
            "fax_number": "971-715-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15110 BOONES FERRY RD STE 150",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353486",
            "telephone_number": "971-331-1366",
            "fax_number": "971-715-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST PSYCHOLOGICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "THATCHER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "971-353-1145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.