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LUCAS EBERHARDT DE MASTER, PSYD, LLC
NPI 1124538293
Psychologist - Clinical in Portland, OR

Active since October 03, 2017
10201 SE MAIN ST STE 29, PORTLAND, OR 97216(971) 220-5993 Get Directions Write a Review

NPPES record last updated: October 3, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lucas Eberhardt De Master, Psyd, Llc NPPES

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

LUCAS EBERHARDT DE MASTER, PSYD, LLC (NPI 1124538293) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since October 2017. The organization lists Lucas Eberhardt De Master, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1124538293
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLUCAS EBERHARDT DE MASTER, PSYD, LLC
Location Address10201 SE MAIN ST STE 29Portland, OR 97216-2937
Mailing Address10201 Se Main St Ste 29Portland, OR 97216-2937 · (971) 220-5993
Phone(971) 220-5993
Organization SubpartNo
Authorized OfficialLucas Eberhardt De MasterClinical Psychologist · (971) 220-5993
Enumeration DateOctober 3, 2017
✔ NPI 1124538293 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 · 2589
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.
10201 SE MAIN ST STE 29, Portland, OR 97216
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lucas Eberhardt De Master, Psyd, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lucas Eberhardt De Master, Psyd, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lucas Eberhardt De Master, PSY.D.
Clinical Psychologist
NPI 1356776447
10201 SE MAIN ST STE 29
Portland, OR 97216
(503) 740-1971
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lucas Eberhardt De Master, Psyd, LLC's NPI number?

The NPI number for Lucas Eberhardt De Master, Psyd, LLC is 1124538293. It was assigned to this organization in the NPPES registry on October 3, 2017.

Where is Lucas Eberhardt De Master, Psyd, LLC located?

Lucas Eberhardt De Master, Psyd, LLC is located at 10201 SE Main St Ste 29, Portland, OR 97216. The listed phone number is (971) 220-5993.

What is Lucas Eberhardt De Master, Psyd, LLC's specialty?

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

Is Lucas Eberhardt De Master, Psyd, LLC enrolled in Medicare?

Yes. Lucas Eberhardt De Master, Psyd, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lucas Eberhardt De Master, Psyd, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Lucas Eberhardt De Master, Psyd, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lucas Eberhardt De Master, Psyd, LLC was last updated on October 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.