DR. JACQUELINE LEE GEDDES (NPI# 1700865490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700865490 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE LEE GEDDES |
| Other Name | DR. QUILLAN GEDDES |
| Credential | PH.D. |
| Practice Address |
11630 Se 40th Ave Suite A Milwaukie OR 97222-6195 |
| Practice Telephone | 5037395365 |
| Practice Fax Number | 9712311420 |
| Mailing Telephone | 5037395365 |
| Mailing Fax Number | 9712311420 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2016-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2366 | OR | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PY00003673 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | DMAP | 50068100 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265801724 | Jacqueline Geddes | Physical Therapist | 600 S Paulina St, Chicago, IL 60612-3806 | 2015-09-15 |
| Street Address |
11630 SE 40TH AVE SUITE A |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-6195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700497377 | Jeffrey Rolland Meuser | Counselor | 11630 Se 40th Ave, Milwaukie, OR 97222-6195 | 2020-08-16 |
| 1538784269 | Ethan G Morrow | Counselor | 11630 Se 40th Ave, Milwaukie, OR 97222-6195 | 2020-06-09 |
| 1396383220 | Kimberly Ann Dudley | Counselor | 11630 Se 40th Ave, Milwaukie, OR 97222-6195 | 2019-12-10 |
| 1285081133 | Patrick Merle Sellin | Counselor | 11630 Se 40th Ave, Milwaukie, OR 97222-6195 | 2016-05-20 |
| 1043683105 | Wister Park Counseling, LLC | Public Health or Welfare | 11630 Se 40th Ave, Ste. A, Milwaukie, OR 97222-6195 | 2015-11-10 |
| 1558782748 | Dara Cantor | Acupuncturist | 11630 Se 40th Ave, Suite C, Milwaukie, OR 97222-6195 | 2013-12-15 |
| 1447693684 | Sheryl Lynn Ivey | Nurse Practitioner | 11630 Se 40th Ave, Suite A #7, Milwaukie, OR 97222-6195 | 2013-04-08 |
| 1013289529 | Flow Natural Health Care | Clinic/Center | 11630 Se 40th Ave, Suite C, Milwaukie, OR 97222-6195 | 2012-01-30 |
| 1457649204 | Jennifer L Blake | Counselor | 11630 Se 40th Ave, Suite A, Milwaukie, OR 97222-6195 | 2011-07-14 |
| 1629372537 | Richard K Lok | Naturopath | 11630 Se 40th Ave, Suite C, Milwaukie, OR 97222-6195 | 2011-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| 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 |
|---|---|---|---|---|
| 1629007315 | Cynthia B Nordlund | Psychologist | 6400 Se Lake Rd Ste 325, Milwaukie, OR 97222-2185 | 2006-07-03 |
| 1144201807 | Northwest Psychological Center, P.C. | Psychologist | 6902 Se Lake Rd, 202, Milwaukie, OR 97267-2148 | 2005-11-09 |
| 1326516659 | Nancy Asher | Psychologist | 6902 Se Lake Rd Ste 202, Milwaukie, OR 97267-2148 | 2018-11-05 |
| 1073996401 | Erika Leigh Eisele | Psychologist | 11458 Se Mceachron Ave, Milwaukie, OR 97222-1264 | 2015-07-02 |
| 1346685583 | Carolyn Mcgurl | Psychologist | 6400 Se Lake Rd Ste 325, Milwaukie, OR 97222-2185 | 2013-05-01 |
| 1972808723 | Brooke Alyssa Kuhnhausen | Psychologist | 6400 Se Lake Rd, Suite 325, Milwaukie, OR 97222-2129 | 2011-01-25 |
| 1851605430 | Bethany Michal Higa | Psychologist | 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222-6587 | 2010-08-05 |
| 1982874632 | Joseph Ghattas Hadeed | Psychologist | 6902 Se Lake Rd, 202, Milwaukie, OR 97267-2148 | 2008-03-10 |
| 1699870873 | Providence Health & Services - Oregon | Psychologist | 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222-6594 | 2006-09-13 |
| 1891805867 | Patricia Alice Calkins | Psychologist | 11630 Se 40th Ave, Suite A, Milwaukie, OR 97222-6195 | 2006-08-30 |
| Find all providers in MILWAUKIE | ||||
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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.