JMJ PSYCHOLOGICAL SERVICES, LLC (NPI# 1902185234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902185234 |
| Entity Type | Organization |
| Organization Name | JMJ PSYCHOLOGICAL SERVICES, LLC |
| Practice Address |
14125 Sw Farmington Rd Beaverton OR 97005-2567 |
| Mailing Address |
16055 Sw Walker Rd Suite 114 Beaverton OR 97006-4942 |
| Practice Telephone | 5034308161 |
| Practice Fax Number | 5036406182 |
| Mailing Telephone | 5034308161 |
| Mailing Fax Number | 5036406182 |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |
| Authorized Official Name | DR. LUZ MARTHA CALLUM (PSYCHOLOGIST) |
| Authorized Official Telephone | 5034308161 |
| Authorized Official Credential | ED.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
1624 | OR | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2212 | OR | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
891 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245507821 | Jmj Psychological Services, LLC | Psychologist | 921 N Lobdell Blvd, Suite D, Baton Rouge, LA 70806-8811 | 2011-11-26 |
| 1710309216 | Jmj Psychological Services, LLC | Psychologist | 412 N 4th St, Suite 100, Baton Rouge, LA 70802-5523 | 2014-01-17 |
| Street Address |
14125 SW FARMINGTON RD |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124023627 | Ronald David Wismer | Dentist | 14125 Sw Farmington Rd, Beaverton, OR 97005-2567 | 2005-06-20 |
| 1235382557 | Jason Atack | Dentist | 14125 Sw Farmington Rd, Beaverton, OR 97005-2567 | 2008-10-30 |
| 1568629533 | Dennis L. Simonsen Dmd PC | Dentist | 14125 Sw Farmington Rd, Beaverton, OR 97005-2567 | 2008-05-19 |
| 1871760058 | James B. Johnsen, D.m.d. | Dentist | 14125 Sw Farmington Rd, Beaverton, OR 97005-2567 | 2008-05-15 |
| 1174642367 | Robert Stuart Rath | Family Medicine | 14125 Sw Farmington Rd, Beaverton, OR 97005-2567 | 2007-03-28 |
| 1588783799 | Robert S. Rath M.d.,p.c. | Clinic/Center | 14125 Sw Farmington Rd, Beaverton, OR 97005-2567 | 2007-03-28 |
| 1104816529 | Dennis Loren Simonsen | Dentist | 14125 Sw Farmington Rd, Beaverton, OR 97005-2567 | 2005-10-26 |
| 1588662738 | James B Johnsen | General Practice | 14125 Sw Farmington Rd, Beaverton, OR 97005-2567 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659916401 | Northwest Child Assessment, LLC | Psychologist | 8228 Sw 171st Pl, Beaverton, OR 97007-6787 | 2019-11-14 |
| 1801445952 | Tamara Tasker | Psychologist | 9244 Sw 149th Ave, Beaverton, OR 97007-8558 | 2019-09-10 |
| 1598047045 | Dianna Harris | Psychologist | 10700 Sw Beaverton Hillsdale Hwy Ste 460, Beaverton, OR 97005-4736 | 2011-09-11 |
| 1457529190 | Laurel Ellen Hughes | Psychologist | 13725 Sw Berthold St, Beaverton, OR 97005-4353 | 2008-02-15 |
| 1538364617 | Kathryn Elizabeth Marshall | Psychologist | 1140 Sw 160th Ave, Beaverton, OR 97006-5055 | 2007-06-18 |
| 1417174020 | Joe D Wood Jr. | Psychologist | 11160 Sw Wood Duck Pl, Beaverton, OR 97007-8295 | 2007-04-18 |
| 1003936196 | Allan F. Chino | Psychologist | 195 Sw 144th Ave, Beaverton, OR 97006-5954 | 2007-03-30 |
| 1508993809 | Erica Heather Vo | Psychologist | 6107 Sw Murray Blvd # 306, Beaverton, OR 97008-4421 | 2007-02-27 |
| 1356499008 | Steven Malone | Psychologist | 3800 Sw Cedar Hills Blvd Ste 229, Beaverton, OR 97005-4761 | 2007-01-08 |
| 1396850129 | Deborah Lee Winer | Psychologist | 10700 S.w. Beaverton-hillsdale Highway, Suite 500, Beaverton, OR 97005-3037 | 2006-08-20 |
| Find all providers in BEAVERTON | ||||
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| 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.