Individual provider Active NPI

BJ Scott, PSY.D.

  • Psychologist
  • Portland, OR
National Provider Identifier
1619103199
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1972 Issued in OR
Practice address
2705 E. Burnside St
Suite 206
Portland, OR 97214-1768
Phone
(503) 319-9553
Fax
(360) 844-5184
NPI assigned
Jun 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 1972 OR
Clinical Psychologist 103TC0700X 1972 OR
Group Psychotherapy Psychologist 103TP2701X 1972 OR
Rehabilitation Psychologist 103TR0400X 1972 OR
Psychologist 103T00000X 1972 OR Primary

Addresses

Primary practice location

2705 E. Burnside St
Suite 206
Portland, OR 97214-1768

Mailing address

2705 E. Burnside St
Suite 206
Portland, OR 97214-1768
Phone (503) 319-9553

Other practice location 1

3939 NE Hancock St
Ste 103
Portland, OR 97212-5321
Phone (503) 531-8203

Other identifiers 1

IdentifierTypeStateIssuer
R161292MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110808000771 OR Practitioner - Clinical Psychologist 1850560822 Reassigns benefits to 4 organizations
Practice locations: Portland, OR
I20241121002895 WA Practitioner - Clinical Psychologist 1850560822 Reassigns benefits to 1 organization
Practice locations: Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2705 E Burnside St
Suite 206
Portland, OR 97214-1768
Phone (503) 319-9553

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.34 of 100Reported as group
Quality
92.55
Promoting interoperability
100
Improvement activities
40
Cost
76.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1972ORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Clinics LLC CurrentSince Sep 11, 2019 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Sep 1, 2024 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Current Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Mar 21, 2018 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Sep 1, 2024 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Mar 21, 2018 Accepting new patients
Balanced Family Chiropractic, LLC Clinical Neuropsychologist CurrentSince May 8, 2025 Accepting new patients
Paws and Reflect Therapeutic Services Current Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince May 1, 2015 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince May 1, 2015 Accepting new patients

Locations

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1040 NW 22nd Ave
Ste 168
Portland, OR 97210
Phone (503) 413-7022

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555

1015 NW 22nd Ave
Fl RIO5
Portland, OR 97210

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

16201 25th Ave W
Lynnwood, WA 98087
Phone (425) 712-9277

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1619103199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 E. BURNSIDE ST",
            "address_2": "SUITE 206",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141768",
            "telephone_number": "503-319-9553",
            "fax_number": "360-844-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 E. BURNSIDE ST",
            "address_2": "SUITE 206",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141768",
            "telephone_number": "503-319-9553",
            "fax_number": "360-844-5184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3939 NE Hancock St",
            "address_2": "Ste 103",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972125321",
            "country_code": "US",
            "telephone_number": "503-531-8203",
            "fax_number": "877-912-7918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "BJ",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OR",
            "license": "1972",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1972",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "OR",
            "license": "1972",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "OR",
            "license": "1972",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R161292",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.