Lighthouse Psychological Services, LLC
Psychologist

Address: 630 Sw Nevada St, Ste. E, Poralnd, OR 97219
Phone: 5418173824

Lighthouse Psychological Services, LLC (NPI# 1356958672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1356958672
Entity Type Organization
Organization Name LIGHTHOUSE PSYCHOLOGICAL SERVICES, LLC
Practice Address 630 Sw Nevada St
Ste. E
Poralnd
OR 97219
Practice Telephone 5418173824
Practice Fax Number 5033897945
Mailing Address 2800 N Lombard Street
Ste. 153
Portland
OR 97217
Mailing Telephone 5418173824
Mailing Fax Number 5033897945
Authorized Official Name Sarah Eckstein (OWNER)
Authorized Official Telephone 5418173824
Authorized Official Credential PH.D.
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-09-30
Last Update Date 2020-09-30

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 103T00000X Psychologist Behavioral Health & Social Service Providers

Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508466574 Jessica Michelle Simonetti Psychologist Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 2020-10-29
1407453889 Larissa Catherine Miller Psychologist 2920 Alder St, Eugene, OR 97405-4146 2020-10-08
1619583408 Kyleemillerphd Psychologist 586 Welcome Way Se, Salem, OR 97302-3932 2020-09-17
1740890771 Marion David Psychologist 8228 Sw 171st Place, First Floor, Beaverton, OR 97007-6787 2020-08-04
1679182364 Psychological Services of Pendleton, LLC Psychologist 1100 Southgate Ste 13, Pendleton, OR 97801-3973 2020-07-28
1497373021 Jennifer Schmidt Psychologist 995 Stonewater Dr., Eagle Point, OR 97524 2020-07-09
1063039592 Cyti Psychology LLC Psychologist 12205 Sw Tualatin Rd Ste 270, Tualatin, OR 97062-7623 2020-06-30
1811518434 Nathaniel Israel Psychologist 7419 Se Woodstock Blvd, Portland, OR 97206-5838 2020-05-05
1477198315 Emi Sumida Brown Psychologist 993 Nw Circle Blvd Ste A, Corvallis, OR 97330-1408 2019-11-14
1174166417 Allyson Marie Taylor Psychologist 416 Laurel Ave Ste 1, Tillamook, OR 97141-2387 2019-10-18
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Office Location

Street Address 630 SW NEVADA ST
STE. E
City PORALND
State OR
Zip Code 97219

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083130991 Tawayne Nolen Malone Jr. Psychologist 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 2017-08-22
1548667918 Eleven Eleven, LLC Specialist/Technologist, Other 6714 Sw 62nd Place, Portland, OR 97219 2014-12-01
1023414257 Paul Shayne Hansen Adult Companion 9155 Sw 55th Avenue, Portland, OR 97219 2014-11-17
1154721850 Mikhail Govshievich Denturist 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 2014-08-29
1255749404 Kristin Rae Paruszkiewicz Physical Therapist 7943 Sw Barbur Blvd #1, Portland, OR 97219 2014-07-31
1639436488 Michelle Lorraine Emery Counselor 7912 Sw 35th, Portland, OR 97219 2012-04-18
1588930192 Steve Ryan Speech-Language Pathologist 3315 Sw Falcon St, Portland, OR 97219 2012-03-28
1104145952 Multnomah Family Care Center Clinic/Center 6787 Sw Capitol Hwy, Portland, OR 97219 2010-05-19
1740518331 Trilbie L Patteson Physical Therapy Assistant 5701 Sw Multnomah Boulevard, West Hills Health and Rehab, Portland, OR 97219 2009-11-20
1538307384 Travis J. Elliott Nd LLC Naturopath 1340 Sw Bertha Blvd, Suite 200, Portland, OR 97219 2009-02-02
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Competitor

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City PORALND
Zip Code 97219

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.