Valued Insight Psychotherapy, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

VALUED INSIGHT PSYCHOTHERAPY, LLC

Practice address

1020 SW Taylor St Ste 855
Portland, OR 97205-2570

Phone

(971) 303-9636

NPI assigned

Jul 24, 2023

Last updated

Jul 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Coppersmith, PSY.D.NPI 1083998744

Title

Psychologist/Owner

Phone

(971) 303-9636

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Coppersmith, Psy.D., LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Coppersmith, PSY.D.

  • Clinical Psychologist
  • Portland, OR
  • NPI 1083998744
  NPD Authorized official

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1467132548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 855",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 855",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052570",
            "telephone_number": "971-303-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUED INSIGHT PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-23",
        "status": "A",
        "authorized_official_last_name": "COPPERSMITH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "971-303-9636",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimberly Coppersmith, Psy.D., LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Michael Joseph Valverde IV
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• Ashley Van Batenburg-Stafford, DC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.