BJ SCOTT (PSY.D.) – Psychologist, NPI 1619103199
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
647 CLINICAL PSYCHOLOGIST in OR
Provider Addresses for BJ SCOTT (PSY.D.)
3939 NE Hancock St
Ste 103
Portland, OR 972125321
Phone: (503) 531-8203
Fax: (877) 912-7918
Type: Location
1015 NW 22ND AVE FL RIO5
PORTLAND, OR 972103025
Phone: (503) 413-6296
Type: Mailing
2705 E. BURNSIDE ST
SUITE 206
PORTLAND, OR 972141768
Phone: (503) 319-9553
Fax: (360) 844-5184
Type: Location
3939, Northeast Hancock Street, Hollywood, Portland, Metro, Multnomah County, Oregon, 97212, United States
STE 103
PORTLAND, OR 972125321
Phone: (503) 531-8203
Fax: (877) 912-7918
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-11-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110808000771 | I | Clinical Psychologist | OR | TBD |
| I20241121002895 | I | Clinical Psychologist | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97212)
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