Organization Active NPI

Just Psychological Services, PC

  • Clinical Child & Adolescent Psychologist
  • Portland, OR
National Provider Identifier
1699495804
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
JUST PSYCHOLOGICAL SERVICES, PC
Practice address
4850 SW Scholls Ferry Rd Ste 301
Portland, OR 97225-1696
Phone
(503) 707-0348
Fax
(971) 266-2868
NPI assigned
Aug 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Dr. Jennifer Simon-Thomas, PH.D.NPI 1194869149
Title
Owner/Clinical Psychologist
Phone
(503) 707-0348

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X Primary

Addresses

Primary practice location

4850 SW Scholls Ferry Rd Ste 301
Portland, OR 97225-1696

Mailing address

4850 SW Scholls Ferry Rd Ste 301
Portland, OR 97225-1696
Phone (503) 707-0348

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1699495804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 SW SCHOLLS FERRY RD STE 301",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251696",
            "telephone_number": "503-707-0348",
            "fax_number": "971-266-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 SW SCHOLLS FERRY RD STE 301",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251696",
            "telephone_number": "503-707-0348",
            "fax_number": "971-266-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "SIMON-THOMAS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "503-707-0348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 1, 2022; 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.