Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Reverie Psychotherapy LLC

Organization Clinical Psychologist · NPI 1295453686

Reverie Psychotherapy LLC is a Clinical Psychologist in Beaverton, Oregon. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1500 NW Bethany Blvd Ste 200
Beaverton, OR 97006-5236
Phone: (503) 966-2395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1295453686
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Priscilla Shim — Owner And Sole Member · (503) 966-2395
NPI enumeratedAugust 22, 2022
Last updated in NPPESAugust 22, 2022
Certification dateAugust 21, 2022
Mailing address1500 Nw Bethany Blvd Ste 200, Beaverton, OR 97006-5236

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