Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265558316 Individual Practitioner Male Practitioner

Dr. Dane M Borg , PsyD

Psychologist • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Dane Borg, PsyD is a registered healthcare professional specializing in Psychologist in Portland, OR. Practice services are available at 847 NE 19TH AVE STE 150 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

847 Ne 19th Ave Ste 150

Portland, OR 972322686

Telephone 5032356256
Fax 5037649646
Associated Practice Facility / Clinic
🏢 Mindsights, P.c. Facility NPI 1124465182

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.9 Yrs
State Avg: 18.9 Yrs
Regional Practice Density
300 Specialists

Practicing in Portland, OR (780 Statewide)

Telehealth Adoption Rate
7.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-21
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License OR 1578

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 - Health Service

NUCC Taxonomy Code: 103TH0100X

State License OR 1578

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

Practice Associates & Co-Workers

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

2 Associated Practitioners
Kathryn Coghlan

Psychologist - Health Service

NPI 1073922449
NPI 1497769400

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2023

Psychologist (License #1578 in OR)

📍
Updated Practice Location September 01, 2022

Registered at 847 NE 19TH AVE STE 150, PORTLAND, OR 972322686 (Tel: 5032356256)

📍
Updated Business Mailing Address September 01, 2022

Registered at 847 NE 19TH AVE STE 150, PORTLAND, OR 972322686 (Tel: 5032356256)

NPI Profile Active September 16, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 16, 2016

Registered at 516 SE MORRISON ST, SUITE 400, PORTLAND, OR 972142327 (Tel: 5032356256)

📍
Updated Business Mailing Address September 16, 2016

Registered at 516 SE MORRISON ST, SUITE 400, PORTLAND, OR 972142327 (Tel: 5032356256)

👤
Provider Name / Credentials Updated September 16, 2016

Recorded as DANE BORG, PSY.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2016

Psychologist (License #1578 in OR)

🟢
Initial NPI Registration & Enumeration March 21, 2007

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: 1265558316
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2007
Last Update: June 21, 2023
Sole Proprietor: No

Mailing Address

847 Ne 19th Ave Ste 150

Portland, OR 972322686

Phone: 5032356256

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.