Pacific Psychology Group

Primary specialty

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

License

792 Issued in OR

Legal business name

PACIFIC PSYCHOLOGY GROUP

Practice address

502 N Main Ave
Gresham, OR 97030-7236

Phone

(503) 492-7470

Fax

(503) 492-0939

NPI assigned

Dec 18, 2012

Last updated

Dec 18, 2012By 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

Gregory MorseNPI 1598882821

Title

Psy.D.

Phone

(503) 492-7470

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

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.

• Gregory G. Morse, PSY.D.

  • Psychologist
  • Gresham, OR
  • NPI 1598882821
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1518203603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N MAIN AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307236",
            "telephone_number": "503-492-7470",
            "fax_number": "503-492-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N MAIN AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307236",
            "telephone_number": "503-492-7470",
            "fax_number": "503-492-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PSYCHOLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PSY.D.",
        "authorized_official_telephone_number": "503-492-7470"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OR",
            "license": "792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Masami Oyama, FNP-C
• Mona Marie Ozaki, PH.D.
• Clare Paas, M.S. CCC-SLP
• Anne Bordelon Pacheco, HEARING AID SPECIALI
• Pacific Eye Group, PC
• Pacific Senior Care, LLC (Gresham Post Acute Care and Rehabilitation)
• Pacific Wellness Pathway LLC
• Megan Padilla, PSY.D.
• Paeonia Wellness LLC
• David Pagano

• Mental Health Clinic/Center (Including Community Mental Health Center) in Gresham, OR
• Providers in Gresham, 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 Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.