Individual provider Active NPI

Joseph Ghattas Hadeed, PH.D.

  • Psychologist
  • Gladstone, OR
National Provider Identifier
1982874632
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1151 Issued in OR
Practice address
15 82ND Dr Ste 20
Gladstone, OR 97027-2563
Phone
(503) 652-2810
Fax
(503) 652-8553
NPI assigned
Mar 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1151 OR Primary

Addresses

Primary practice location

15 82ND Dr Ste 20
Gladstone, OR 97027-2563

Mailing address

6902 SE Lake Rd
202
Milwaukie, OR 97267-2148
Phone (503) 652-2810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121018000078 OR Practitioner - Clinical Psychologist 9032294459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Psychological Center PCGroup PAC ID 1052382967, 2 clinicians

Practice addresses (Care Compare)

15 82ND Dr
Suite 240
Gladstone, OR 97027-2558
Phone (503) 652-2810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1982874632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6902 SE LAKE RD",
            "address_2": "202",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972672148",
            "telephone_number": "503-652-2810",
            "fax_number": "503-652-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 82ND DR STE 20",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272563",
            "telephone_number": "503-652-2810",
            "fax_number": "503-652-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADEED",
        "first_name": "JOSEPH",
        "middle_name": "GHATTAS",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-10",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, OR

Sources for this page

Verify at the official NPI Registry.