Portland Psychological Services

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

PORTLAND PSYCHOLOGICAL SERVICES

Practice address

6950 SW Hampton St Ste 207
Portland, OR 97223-8234

Phone

(503) 928-4182

NPI assigned

May 22, 2020

Organization subpart

No

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

Authorized official

Name

Charles David Maxey, M.A.NPI 1306234489

Title

Owner

Phone

(503) 928-4182

Specialties & licenses 4

Addresses

Other names 1

• C. David Maxey, M.A. Former legal business name

Locations

Practitioners 1

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

• Charles David Maxey, M.A.

  • Clinical Child & Adolescent Psychologist
  • Portland, OR
  • NPI 1306234489
  NPD Authorized official

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1699398792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 SW HAMPTON ST STE 207",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238234",
            "telephone_number": "503-928-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 SW HAMPTON ST STE 207",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238234",
            "telephone_number": "503-928-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "MAXEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-928-4182",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C. David Maxey, M.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Portland PS Early Childhood
• Portland PS Pioneer Program
• Portland Psychiatric Alliance LLC
• Portland Psychiatric Health
• Portland Psychological Assessments, LLC
• Portland Psychotherapy Clinic
• Portland Psychotherapy Psychiatry LLC
• Portland Public Schools
• Portland Public Schools
• Portland Public Schools

• Clinical Child & Adolescent Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Child & Adolescent Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.

Verify at the official NPI Registry.