DR. MARK IRA RECK PSYD
NPI 1063155513
Psychologist - Clinical in Portland, OR

Q: What is Mark Reck's NPI number?

The NPI number for Mark Reck is 1063155513. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Q: What is Mark Reck's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Mark Reck was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2022PECOS Enrolled

812 SW WASHINGTON ST STE 700, PORTLAND, OR 97205(503) 622-8964 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Mark Ira Reck Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK IRA RECK PSYD (NPI 1063155513) is an individual clinical provider in Portland, Oregon, licensed in Oregon (3539) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063155513

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARK IRA RECKCredential: PSYD

Location Address812 SW WASHINGTON ST STE 700Portland, OR 97205-3200

Mailing Address3178 Sw 12th Ave Apt 204Portland, OR 97239-3144 · (503) 863-1290

Phone(503) 622-8964

Sole ProprietorYes

Enumeration DateApril 13, 2022

NPPES CertifiedApril 13, 2022

✔ NPI 1063155513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OR · 3539

Definition

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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

812 SW WASHINGTON ST STE 700, Portland, OR 97205

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Ira Reck Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$176.88 typical visit price

range $58.99 – $176.88

Typical copayment $44.22 (range $14.74 – $44.22)

Most-billed visit code 99205

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIKITA RAMAKRISHNAN PH.D.

Psychologist