Active NPI
Thomas James Brewer, PSY.D.
- Psychologist
- Beaverton, OR
National Provider Identifier
1659437747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1622
- Practice address
- 1915 NE Stucki Ave Ste 400
Beaverton, OR 97006-6938 - Phone
- (503) 804-3262
- NPI assigned
- Dec 31, 2006
- Last updated
- May 16, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1622 | OR | Primary |
| Clinical Psychologist | 103TC0700X | 1622 | OR |
Addresses
Primary practice location
1915 NE Stucki Ave Ste 400
Beaverton, OR 97006-6938
Mailing address
7325 NE Imbrie Dr # 295
Hillsboro, OR 97124-7595
Phone (503) 804-3262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PACIFICSOURCE | Other | OR | PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1622 | OR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunset Psychological & Counseling Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Portland, OR
- NPI 1972624500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1659437747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7325 NE IMBRIE DR # 295",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971247595",
"telephone_number": "503-804-3262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 NE STUCKI AVE STE 400",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970066938",
"telephone_number": "503-804-3262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "THOMAS",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-31",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "1622",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "1622",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER #",
"identifier": "PACIFICSOURCE",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.