Positive Development for Youth and Families, Inc.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

POSITIVE DEVELOPMENT FOR YOUTH AND FAMILIES, INC.

Practice address

4531 SE Belmont St Ste 110
Portland, OR 97215-1675

Phone

(503) 333-5213

Fax

(844) 774-3515

NPI assigned

Feb 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Justin William Bush, PHD

Title

Co-Owner/Licensed Psychlogist

Phone

(503) 333-5213

Specialties & licenses 1

Addresses

Other names 1

• Positive Development For Youth and Families Former legal business name

Locations

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1912530643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7616 N LEONARD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972033231",
            "telephone_number": "503-333-5213",
            "fax_number": "844-774-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 SE BELMONT ST STE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151675",
            "telephone_number": "503-333-5213",
            "fax_number": "844-774-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE DEVELOPMENT FOR YOUTH AND FAMILIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CO-OWNER/LICENSED PSYCHLOGIST",
        "authorized_official_telephone_number": "503-333-5213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Positive Development For Youth and Families",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Heather Portus, DC
• Catherine Porycki, SLP-CCC
• Poscimur LLC
• Bradley Kenneth Poser, LPC, MS, CRC
• Jennifer M. Posey
• Positive Medicine LLC
• Carol Anne Posluszny, LCSW
• Adrienne Rebecca Posner
• Jonathan Eric Posner, MD
• Bethann Pospischil

• 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 Feb 21, 2020; 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.