Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265831705 Individual Practitioner Female Practitioner

Dr. Serita Backstrand , PsyD

Psychologist • Beaverton, OR

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Serita Backstrand, PsyD is a certified Psychologist practicing in Beaverton, OR. With approximately 11 years of clinical experience since completing medical education in 2015, Dr. Backstrand delivers high-quality medical care to the local community at 1791 NW 173RD AVE STE 140.

Dr. Backstrand is affiliated with Western Psychological And Counseling Services Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

1791 Nw 173rd Ave Ste 140

Beaverton, OR 97006

Telephone 5035339806
Fax 5033521809
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Beaverton, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -13.4 yrs vs City Avg
City Avg: 24.4 Yrs
State Avg: 18.9 Yrs
Regional Practice Density
24 Specialists

Practicing in Beaverton, OR (780 Statewide)

Telehealth Adoption Rate
20.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Backstrand (11 Years) 11 Yrs
Beaverton Specialty Average (24.4 Years) 24.4 Yrs

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License OR 2933

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.

Psychologist

NUCC Taxonomy Code: 103T00000X

State License WA PY60776565

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
164936 (OR)

Hospital & Practice Group Affiliations

Western Psychological And Counseling Services Llc

8280 Ne Mauzey Ct, Hillsboro, OR 971249092

Phone: 5034399531

Secondary Practice Locations

208 E 25th Street, Nw Family Psychology, Llc

Vancouver, WA 986633219

Phone: 3609101522

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1073534780

Doctor of Psychology (Psy.D.)

Christopher Hoover , LPC, CADCIII

Counselor - Mental Health

NPI 1417665449

Licensed Professional Counselor, CADCIII

Dr. Christina Weiss , PsyD

Psychologist - Clinical

NPI 1942787601

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location April 01, 2019

Registered at 1791 NW 173RD AVE STE 140, BEAVERTON, OR 97006 (Tel: 5035339806)

📍
Updated Business Mailing Address April 01, 2019

Registered at 1791 NW 173RD AVE STE 140, BEAVERTON, OR 970065630 (Tel: 5035339806)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2019

Psychologist (License #2933 in OR)

NPI Profile Active April 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2017

Registered at 208 E 25TH STREET, NW FAMILY PSYCHOLOGY, LLC, VANCOUVER, WA 986633219 (Tel: 3609101522)

📍
Updated Business Mailing Address April 12, 2017

Registered at 208 E 25TH STREET, NW FAMILY PSYCHOLOGY, LLC, VANCOUVER, WA 986633129 (Tel: 3609101522)

👤
Provider Name / Credentials Updated April 12, 2017

Recorded as SERITA BACKSTRAND, PSY.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2017

Psychologist

NPI Profile Active September 08, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 08, 2014

Registered at 12636 SE STARK ST, PLAZA 125, BUILDING J, PORTLAND, OR 972331058 (Tel: 5032534600)

📍
Updated Business Mailing Address September 08, 2014

Registered at PO BOX 82819, PORTLAND, OR 972820819 (Tel: 5032335405)

👤
Provider Name / Credentials Updated September 08, 2014

Recorded as SERITA BACKSTRAND, M.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2014

Counselor

🟢
Initial NPI Registration & Enumeration August 21, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265831705
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2014
Last Update: April 01, 2019
Sole Proprietor: Yes

Mailing Address

1791 Nw 173rd Ave Ste 140

Beaverton, OR 970065630

Phone: 5035339806

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.