Organization Active NPI

Melinda Brooks, PSYD, LLC

  • Psychologist
  • Tigard, OR
National Provider Identifier
1801529201
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MELINDA BROOKS, PSYD, LLC
Practice address
7505 SW Beveland Rd
Tigard, OR 97223-8682
Phone
(503) 860-1480
NPI assigned
Jul 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Dr. Melinda Brooks, PSYDNPI 1609106004
Title
Owner/Clinical Psychologist
Phone
(503) 860-1480

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

7505 SW Beveland Rd
Tigard, OR 97223-8682

Mailing address

7505 SW Beveland Rd Ste 101
Tigard, OR 97223-8682
Phone (503) 386-2968

National Provider Directory

National Provider Directory

Locations

7505 SW Beveland Rd
Tigard, OR 97223
Phone (503) 380-7235

7505 SW Beveland Rd
Ste 101
Tigard, OR 97223
Phone (503) 684-1977

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": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1801529201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 SW BEVELAND RD STE 101",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238682",
            "telephone_number": "503-386-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 SW BEVELAND RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238682",
            "telephone_number": "503-860-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELINDA BROOKS, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "503-860-1480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.