Active NPI
BJ Scott, PSY.D.
- Psychologist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1972
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R161292 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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 100
- Quality
- 77.21
- Promoting interoperability
- 99.06
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.34 of 100
- Quality
- 92.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.53
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1972 | OR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Clinics LLC | Current | Accepting new patients | |
| Legacy Meridian Park Hospital | Current | 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 | Current | Accepting new patients | |
| Legacy Meridian Park Hospital | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Balanced Family Chiropractic, LLC | Clinical Neuropsychologist | Current | Accepting new patients |
| Paws and Reflect Therapeutic Services | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current | 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.
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
-
- Multi-Specialty Clinic/Center
- Lynnwood, WA
- NPI 1346827664
Clinical Neuropsychologist
-
- Psychiatric Hospital Unit
- Portland, OR
- NPI 1003822487
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1417977976
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1609896174
-
- Clinic/Center
- Portland, OR
- NPI 1679597108
-
- Hospitalist Physician
- Tualatin, OR
- NPI 1023305034
-
- Community/Behavioral Health Agency
- Cottage Grove, OR
- NPI 1508704164
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.