OPAL INSTITUTE LLC (NPI# 1639472319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639472319 |
| Entity Type | Organization |
| Organization Name | OPAL INSTITUTE LLC |
| Practice Address |
14780 Sw Osprey Dr. #285 Beaverton OR 97007 |
| Practice Telephone | 5033084251 |
| Practice Fax Number | 5035918628 |
| Mailing Telephone | 5033084251 |
| Mailing Fax Number | 5035918628 |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2013-04-17 |
| Authorized Official Name | AMY SUSAN SCHULTZ (OWNER) |
| Authorized Official Telephone | 5033084251 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 1639 | OR | Behavioral Health & Social Service Providers |
| Street Address |
14780 SW OSPREY DR. #285 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891272225 | Ben Shepherd Cohn | Massage Therapist | 16088 Sw Hillary Pl, Beaverton, OR 97007 | 2018-07-27 |
| 1013410455 | Taryn Weslie Van Vliet | Counselor | Forward Stride, 23839 Sw Daniel Rd., Beaverton, OR 97007 | 2018-03-12 |
| 1588181184 | Sarah Rennalls | Massage Therapist | 16315 Sw Barrows Road #203, Beaverton, OR 97007 | 2017-08-24 |
| 1982137501 | Patrick N Huynh | Nurse Practitioner | 14795 Sw Scholls Dr., Beaverton, OR 97007 | 2017-04-10 |
| 1841675428 | Jessica C Moore | Social Worker | 4585 Sw185th Ave, Beaverton, OR 97007 | 2015-07-24 |
| 1205233913 | Julie Guzman | Case Manager/Care Coordinator | 4585 Sw 185th Ave., Beaverton, OR 97007 | 2014-11-24 |
| 1255738183 | Jennifer Kenedy | Case Manager/Care Coordinator | 4585 Sw 185th Avenue, Aloha, OR 97007 | 2014-11-20 |
| 1053754069 | Dr Bob Health Centre | Internal Medicine | 16325 Sw Sexton Mountain Dr, Beaverton, OR 97007 | 2013-04-09 |
| 1518211713 | Rosebelinda S Nelson | Dental Hygienist | 3895 Sw 18th Ave. #170, Aloha, OR 97007 | 2012-11-09 |
| 1073871240 | Suzanne Mcreynolds | Mechanotherapist | 16784 Sw Vincent St, Beaverton, OR 97007 | 2012-04-25 |
| Find all providers in zip 97007 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205046422 | Laura Renteria | Clinical Neuropsychologist | 14631 Sw Millikan Way, Beaverton, OR 97003-2999 | 2007-05-23 |
| 1952844979 | Dr. Laura Renteria, PC | Clinical Neuropsychologist | 14631 Sw Millikan Way, Beaverton, OR 97003-2999 | 2016-11-22 |
| 1013084300 | Amy Susan Friday | Clinical Neuropsychologist | 14780 Sw Osprey Dr., #285, Beaverton, OR 97007 | 2006-11-29 |
| 1710901707 | Laurence M. Binder | Clinical Neuropsychologist | 4900 Sw Griffith Dr, Ste 244, Beaverton, OR 97005-5607 | 2006-07-26 |
| 1740218015 | Allan Michael Leland | Clinical Neuropsychologist | 9400 Sw Beaverton Hillsdale Hwy, Suite 205, Beaverton, OR 97005-3315 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093278111 | Viva Wheaton Psyd LLC | Clinical Neuropsychologist | 603 E. Hancock St, Newberg, OR 97132 | 2019-04-08 |
| 1528532884 | Viva Wheaton | Clinical Neuropsychologist | 603 E. Hancock St., Newberg, OR 97132-3806 | 2019-01-18 |
| 1710334099 | Robyn Ashley Migliorini | Clinical Neuropsychologist | 497 Sw Century Dr Ste 104, Bend, OR 97702-1167 | 2016-05-17 |
| 1649640335 | Northwest Neurohealth LLC | Clinical Neuropsychologist | 501 N. Villa Road, Newberg, OR 97140 | 2015-10-07 |
| 1609265123 | Albany General Hospital | Clinical Neuropsychologist | 534 Pleasant View Way Nw, Suite 200, Albany, OR 97321-1700 | 2015-01-21 |
| 1902208846 | 360 Pediatric Psychology, PC | Clinical Neuropsychologist | 201 B Ave., Suite #285, Lake Oswego, OR 97034 | 2014-09-23 |
| 1497010706 | Leah B. Schock Phd, LLC | Clinical Neuropsychologist | 975 Sw Colorado Ave Ste 100, Bend, OR 97702-3155 | 2012-07-12 |
| 1275790461 | Audrina Alexis Mullane | Clinical Neuropsychologist | 534 Pleasant View Way Nw Ste 200, Albany, OR 97321-1789 | 2008-05-16 |
| 1801098090 | Nancy Loss | Clinical Neuropsychologist | 2223 Ne 47th Avenue, Portland, OR 97213 | 2007-06-01 |
| 1386857506 | David Matthew Freed | Clinical Neuropsychologist | 1180 Cross St Se, Salem, OR 97302-2924 | 2007-05-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OPAL INSTITUTE LLC.
| 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.