MIND MATTERS PC (NPI# 1285839019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285839019 |
| Entity Type | Organization |
| Organization Name | MIND MATTERS PC |
| Practice Address |
18650 Nw Cornell Rd Suite 315 Hillsboro OR 97124-9207 |
| Practice Telephone | 5033520468 |
| Practice Fax Number | 5033521024 |
| Mailing Telephone | 5033520468 |
| Mailing Fax Number | 5033521024 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2017-07-28 |
| Authorized Official Name | JOHN JACQUOT (ADMINISTRATOR) |
| Authorized Official Telephone | 5033520468 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | MD, PMHNP LPC | OR | Behavioral Health & Social Service Providers |
| Street Address |
18650 NW CORNELL RD SUITE 315 |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-9207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285617902 | Erik John Aspengren | Physical Therapist | 18650 Nw Cornell Rd, Suite 314, Hillsboro, OR 97124-9207 | 2005-11-28 |
| 1740768423 | Kevin Yukio Fujimoto | Physical Therapist | 18650 Nw Cornell Rd, Hillsboro, OR 97124-9207 | 2018-08-03 |
| 1922586916 | Constance Liu | Occupational Therapist | 18650 Nw Cornell Rd, Hillsboro, OR 97124-9207 | 2018-08-01 |
| 1437681624 | Sally Loprinzi | Registered Nurse | 18650 Nw Cornell Rd, Suite 220, Hillsboro, OR 97124-9207 | 2017-03-28 |
| 1952833253 | Alexis Kathryn Vannerson | Registered Nurse | 18650 Nw Cornell Rd, Suite 220, Hillsboro, OR 97124-9207 | 2017-03-28 |
| 1003223959 | Providence Health & Services - Oregon | Clinic/Center | 18650 Nw Cornell Rd, Suite 212, Hillsboro, OR 97124-9208 | 2014-07-11 |
| 1861817470 | Thomas Owens | Registered Nurse | 18650 Nw Cornell Rd, Suite 220, Hillsboro, OR 97124-9207 | 2014-02-19 |
| 1053748640 | Maryanne Frances Stewart | Social Worker | 18650 Nw Cornell Rd, Suite 315, Hillsboro, OR 97124-9207 | 2013-09-27 |
| 1710245949 | Kelly Jean Cleaves | Psychiatry & Neurology | 18650 Nw Cornell Rd, Ste 315, Hillsboro, OR 97124-9207 | 2012-04-25 |
| 1245513845 | Katherine Corea Talbert | Counselor | 18650 Nw Cornell Rd, Suite 315, Hillsboro, OR 97124-9207 | 2011-09-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669599189 | Thomas Joseph Delisle | Psychologist | 19 Pleasant St., Hillsboro, NH 03244-1262 | 2007-03-22 |
| 1548312887 | Marc Frederick Stuckey | Psychologist | 328 W Main Street, Suite A100, Hillsboro, OR 97123 | 2007-01-17 |
| 1144282567 | Carol E Menustik | Psychologist | 1322 Ne Orenco Station Pkwy, Ste 250, Hillsboro, OR 97124-5411 | 2006-04-03 |
| 1659981579 | Lisa Roberts Christiansen | Psychologist | 222 Se 8th Ave Ste 212, Hillsboro, OR 97123-4218 | 2020-08-05 |
| 1417325101 | Ryoka Kim | Psychologist | 18610 Nw Cornell Rd Ste 300, Hillsboro, OR 97124-9206 | 2015-09-11 |
| 1578949608 | Monica Froman-reid | Psychologist | 21210 Nw Mauzey Rd, Hillsboro, OR 97124-9327 | 2015-07-30 |
| 1679882419 | Minal Patel | Psychologist | 18650 Nw Cornell Rd, Suite 315, Hillsboro, OR 97124-9207 | 2010-09-28 |
| 1023335478 | John David Mcswigan | Psychologist | 971 Sw Walnut St, Hillsboro, OR 97123-5651 | 2010-04-26 |
| 1528285525 | Daniel Scott Mckitrick | Psychologist | 222 Se 8th Ave, Spp,hpc,pacific University, Hillsboro, OR 97123-4218 | 2007-04-19 |
| 1922123041 | Dev Chilson | Psychologist | 1322 Ne Orenco Station Pkwy, Suite 310, Hillsboro, OR 97124-5424 | 2007-03-20 |
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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.