MANDALA MENTAL AND BEHAVIORAL HEALTH, LLC
NPI 1104333103
Counselor - Professional in Portland, OR

Q: What is Mandala Mental And Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since December 29, 2017

650 NE HOLLADAY ST STE 16001614, PORTLAND, OR 97232(503) 367-3630(503) 224-3126 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, Mar 17, 2018, Dec 29, 2017 (3 updates tracked since 2017).

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About Mandala Mental And Behavioral Health, Llc NPPES

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

MANDALA MENTAL AND BEHAVIORAL HEALTH, LLC (NPI 1104333103) is a healthcare organization registered as a professional in Portland, Oregon and active in the NPI registry since December 2017. The organization maintains 2 additional practice locations and lists Daniel J Gilbride, Director, as its authorized official.

NPPES Registry Identity

NPI1104333103

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameMANDALA MENTAL AND BEHAVIORAL HEALTH, LLC

Location Address650 NE HOLLADAY ST STE 16001614Portland, OR 97232-2045

Mailing Address650 Ne Holladay St Ste 1600Portland, OR 97232-2035 · (503) 367-3630 · Fax (503) 224-3126

Phone(503) 367-3630

Fax(503) 224-3126

Organization SubpartNo

Authorized OfficialDaniel J GilbrideDirector · (503) 367-3630

Enumeration DateDecember 29, 2017

Last NPPES UpdateJune 16, 20183 updates tracked since enumeration

✔ NPI 1104333103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OR · C4036

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License C4036 (OR)

650 NE HOLLADAY ST STE 16001614, Portland, OR 97232

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Secondary Practice Locations 2

Location 1511 SW 10th Ave Ste 601Portland, OR 97205-2707 · Phone (503) 367-3630 · Fax (503) 224-3126

Location 2650 NE Holladay St Ste 16001614Portland, OR 97232-2045 · Phone (503) 367-3630 · Fax (503) 224-3126

Other Identifiers 2

Other13804154National Provider Number, Teresa Conlan

Other1942662150National Provider Number, Daniel Gilbride

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mandala Mental And Behavioral Health, LLC's NPI number?

The NPI number for Mandala Mental And Behavioral Health, LLC is 1104333103. It was assigned to this organization in the NPPES registry on December 29, 2017.

Where is Mandala Mental And Behavioral Health, LLC located?

Mandala Mental And Behavioral Health, LLC is located at 650 NE Holladay St Ste 16001614, Portland, OR 97232. The listed phone number is (503) 367-3630.

What is Mandala Mental And Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mandala Mental And Behavioral Health, LLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.