Individual provider · Type 1 NPI

Patrice Deidre Carrello, PhD

Clinical Psychologist · Portland, OR

NPI number 1437215712 Active

Practice location

2100 NE Broadway St Ste 323
Portland, OR 97232-1570

Mailing address

2354 SE 59th Ave
Portland, OR 97215-4018

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X1626 (OR)
Clinical Neuropsychologist 103G00000XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1437215712

Patrice Deidre Carrello, PhD's National Provider Identifier is 1437215712, issued on Dec 29, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Portland, OR. The record was last updated on Jul 28, 2026.