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Active NPI 1669597530 Organization (Entity Type 2)

Moving Boundaries, Inc

Psychologist • Gresham, OR

About Moving Boundaries, Inc NPI 1669597530 Summary

Moving Boundaries, Inc is a verified healthcare organization specializing in Psychologist operating in Gresham, OR. Located at 1375 SW BLAINE CT, this facility provides patient care and medical services under National Provider Identifier (NPI) 1669597530.

Administrative operations and authorized compliance are overseen by Elizabeth Kirkhart (Vice President).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1375 Sw Blaine Ct

Gresham, OR 970805383

Telephone 5036614126
Fax 5036615304

Authorized Official Information

Authorized Contact Name

DR. Elizabeth Kirkhart , PH.D.

Title / Role

Vice President

Official Telephone

5036614126

Facility Classifications & Specialties

Psychologist Primary Taxonomy

NUCC Taxonomy Code: 103T00000X

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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1375 SW BLAINE CT, GRESHAM, OR 970805383 (Tel: 5036614126)

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Updated Business Mailing Address July 08, 2007

Registered at 1375 SW BLAINE CT, GRESHAM, OR 970805383 (Tel: 5036614126)

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Organization / Clinic Name Updated July 08, 2007

Operating as MOVING BOUNDARIES, INC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #1082 in OR)

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Initial NPI Registration & Enumeration March 20, 2007

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1669597530
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: March 20, 2007
Last Update: August 22, 2020

Mailing Address

1375 Sw Blaine Ct

Gresham, OR 970805383

Phone: 5036614126

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.