DR. BRIAN TUCKER (NPI# 1902095185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902095185 |
| Entity Type | Individual |
| Full Name | DR. BRIAN TUCKER |
| Credential | PSY.D. |
| Practice Address |
423 Ne 60th Ave Portland OR 97213-3725 |
| Mailing Address |
516 Se Morrison St Ste 705 Portland OR 97214-2347 |
| Practice Telephone | 5033811549 |
| Mailing Telephone | 9718019855 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2016-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2023 | OR | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PSY22117 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205137106 | Brian Tucker | Pharmacist | 3055 Dauphin St, Mobile, AL 36606-4040 | 2010-11-08 |
| 1386040335 | Brian Tucker | Social Worker | 149 Enterprise Dr, Somerset, KY 42501-6155 | 2014-11-18 |
| 1992108880 | Brian Tucker | Dentist | 9601 Spur 591, Attn: Regional Medical Office, Amarillo, TX 79107-9606 | 2014-10-06 |
| 1144562687 | Brian C. Tucker | Emergency Medicine | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2013-03-22 |
| 1043560527 | Brian Tucker | Pharmacist | 210 Ingles Pl, Seneca, SC 29678 | 2012-09-12 |
| 1124289996 | Brian Keith Tucker | Surgery | 800 Rose St, C224, Lexington, KY 40536-0001 | 2008-06-24 |
| 1316033608 | Brian David Tucker | Dentist | 9801 Anderson Mill Rd, Suite 109, Austin, TX 78750-2274 | 2006-10-05 |
| Street Address |
423 NE 60TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508921941 | Erin M Berk | Art Therapist | 423 Ne 60th Ave, Portland, OR 97213-3725 | 2006-12-26 |
| 1548618630 | Shannon Quinn | Counselor | 423 Ne 60th Ave, Portland, OR 97213-3725 | 2016-05-30 |
| 1861818346 | Courtney Woodward | Counselor | 423 Ne 60th Ave, Portland, OR 97213-3725 | 2014-03-08 |
| 1316389299 | Cathy E Walker | Counselor | 423 Ne 60th Ave, Portland, OR 97213-3725 | 2013-07-22 |
| 1104105840 | Joseph Parrish | Counselor | 423 Ne 60th Ave, Portland, OR 97213-3725 | 2011-08-12 |
| 1457586380 | Elizabeth J Stinson | Marriage & Family Therapist | 423 Ne 60th Ave, Portland, OR 97213-3725 | 2009-05-21 |
| 1750522066 | Jeffrey Asprocolas | Social Worker | 423 Ne 60th Ave, Portland, OR 97213-3725 | 2009-03-16 |
| 1972762490 | Mohammad A Bader | Counselor | 423 Ne 60th Ave, Portland, OR 97213-3725 | 2008-06-09 |
| 1639353691 | Julie Hassen Wiesner | Social Worker | 423 Ne 60th Ave, Portland, Portland, OR 97213-3725 | 2007-12-26 |
| 1023208410 | Tina Marie Glover | Counselor | 423 Ne 60th Ave, Portland, OR 97051-6210 | 2007-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| 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 |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1811518434 | Nathaniel Israel | Psychologist | 7419 Se Woodstock Blvd, Portland, OR 97206-5838 | 2020-05-05 |
| 1477112480 | Stella Beatriz Kerl-mcclain | Psychologist | 2826 Sw Ridge Dr, Portland, OR 97219-6205 | 2019-06-12 |
| 1184281438 | Nicholas Alexander Schollars | Psychologist | 3050 Se Division St # 215, Portland, OR 97202-1451 | 2019-05-22 |
| 1639637432 | Bayside Psychology and Consulting, LLC | Psychologist | 1 Union St Ste 402, Portland, ME 04101-4048 | 2019-03-11 |
| 1942766985 | Alexandra R. Lash | Psychologist | 386 Fore St, Portland, ME 04101-4047 | 2019-02-14 |
| 1811416068 | Matthew Lundeberg | Psychologist | 10300 Sw Greenburg Rd Ste 271, Portland, OR 97223-5415 | 2017-09-19 |
| 1083130991 | Tawayne Nolen Malone Jr. | Psychologist | 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 | 2017-08-22 |
| 1093241838 | Dr Patricia Clark | Psychologist | 1132 Sw 19th Ave, Portland, OR 97205-1740 | 2017-05-11 |
| 1639527575 | Randall David Wright | Psychologist | 1827 Ne 44th Ave Ste 320, Portland, OR 97213-1443 | 2016-06-01 |
| Find all providers in PORTLAND | ||||
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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.