MANDALA MENTAL AND BEHAVIORAL HEALTH, LLC
NPI 1104333103
Counselor - Professional in Portland, OR
NPI Status: Active since December 29, 2017
Contact Information
650 NE HOLLADAY ST STE 16001614
PORTLAND, OR
ZIP 97232
Phone: (503) 367-3630
Fax: (503) 224-3126
- Organization
- Counselor
- Professional
About MANDALA MENTAL AND BEHAVIORAL HEALTH, LLC
This page provides the complete NPI Profile along with additional information for Mandala Mental And Behavioral Health, Llc, a provider established in Portland, Oregon operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1104333103 assigned on December 2017. The practitioner's primary taxonomy code is 101YP2500X with license number C4036 (OR). The provider is registered as an organization and their NPI record was last updated 8 years ago. Mandala Mental And Behavioral Health, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Daniel J Gilbride Ma, Mrc, Lpc (Director)
- NPI
- 1104333103
- Provider Name
- MANDALA MENTAL AND BEHAVIORAL HEALTH, LLC
- Entity Type
- Organization
- Location Address
- 650 NE HOLLADAY ST STE 16001614 PORTLAND, OR 97232
- Location Phone
- (503) 367-3630
- Location Fax
- (503) 224-3126
- Mailing Address
- 650 NE HOLLADAY ST STE 1600 PORTLAND, OR 97232
- Mailing Phone
- (503) 367-3630
- Mailing Fax
- (503) 224-3126
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-29-2017
- Last Update Date
- 06-16-2018
- Code Navigator
Location Map
Secondary Locations
- 650 NE Holladay St Ste 16001614
Portland, OR 97232
(503) 367-3630 - 511 SW 10th Ave Ste 601
Portland, OR 97205
(503) 367-3630
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- C4036
- License State
- OR
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | (OR) |
| 2 | 251S00000X | Agencies | Community/Behavioral Health | C4036 (OR) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13804154 | OTHER (01) | NATIONAL PROVIDER NUMBER, TERESA CONLAN | |
| 1942662150 | OTHER (01) | NATIONAL PROVIDER NUMBER, DANIEL GILBRIDE |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104333103, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 47 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104333103, enumerated as an "organization" on December 29, 2017.
The provider is located at 650 NE HOLLADAY ST STE 16001614 PORTLAND, OR 97232 and the phone number is (503) 367-3630.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
