New Horizons Wellness Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1615

Legal business name

NEW HORIZONS WELLNESS SERVICES, LLC

Practice address

10700 SW Beaverton Hillsdale Hwy
Ste. 618
Beaverton, OR 97005-3019

Phone

(503) 352-0240

NPI assigned

Aug 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Patrick E Ethel-King, PH.D.

Title

Director/Psychologist

Phone

(503) 352-0240

Specialties & licenses 2

Addresses

Locations

Practitioners 4

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

• Kelsey Portia Koll, OTD, OTR/L

  • Occupational Therapist
  • Tigard, OR
  • NPI 1639835051
  NPD (past)
• Mary Catherine Rosati

  • Speech-Language Pathologist
  • Tigard, OR
  • NPI 1578142378
  NPD (past)
• Sarah Simrell

  • Speech-Language Pathologist
  • Tigard, OR
  • NPI 1255926622
  NPD (past)
• Cecilia Marie Goedert, MA CCC-SLP

  • Speech-Language Pathologist
  • Redmond, WA
  • NPI 1306510763
  NPD (past)

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1477801454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 SW BEAVERTON HILLSDALE HWY",
            "address_2": "STE. 618",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053019",
            "telephone_number": "503-352-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SW BEAVERTON HILLSDALE HWY",
            "address_2": "STE. 618",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053019",
            "telephone_number": "503-352-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZONS WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "ETHEL-KING",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR/PSYCHOLOGIST",
        "authorized_official_telephone_number": "503-352-0240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": "1615",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "986473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Albert Neumann, D.C.
• Neupathway LLC
• Molly Alexis Neupert
• Neurobehavioral Evaluation and Therapy Services, LLC
• Megan L Nevills Moseley, DMD
• New Leaf Health Clinic
• New Meanings Counseling LLC
• Loretta Newberry, M.S.W., L.C.S.W.
• Kimberly Newell
• Alison Newey

• Clinical Psychologist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.