DR. PATRICK F JOHNSON PH.D.
NPI 1265503304
Psychologist - Counseling in Portland, OR

NPI Status: Active since November 12, 2006

Contact Information

13831 NW CORNELL RD
103
PORTLAND, OR
ZIP 97229
Phone: (503) 313-5186

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  • Individual
  • Female
  • Psychologist
  • Counseling
  • Opted-Out Medicare

About PATRICK JOHNSON

This page provides the complete NPI Profile along with additional information for Patrick Johnson, a provider established in Portland, Oregon with a medical specialization in Psychologist, focusing in counseling . The healthcare provider is registered in the NPI registry with number 1265503304 assigned on November 2006. The practitioner's primary taxonomy code is 103TC1900X with license number 1581 (OR). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1265503304
Provider Name
DR. PATRICK F JOHNSON PH.D.
Other Name
DR. RICK JOHNSON PH.D.
Other Name Type
Professional Name (2)
Gender
Female
Entity Type
Individual
Location Address
13831 NW CORNELL RD 103 PORTLAND, OR 97229
Location Phone
(503) 313-5186
Mailing Address
3017 SW FAIRVIEW BLVD PORTLAND, OR 97205
Mailing Phone
(503) 313-5186
Is Sole Proprietor?
Yes
Enumeration Date
11-12-2006
Last Update Date
07-08-2007
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Patrick Johnson opted out of Medicare effective on 10-28-2021 until 10-28-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

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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

Psychologist Counseling

Taxonomy Code
103TC1900X
Type
Behavioral Health & Social Service Providers
License No.
1581
License State
OR
Taxonomy Description
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 10-28-2021

  • Opt-Out End Date: 10-28-2027

  • Eligible to Order and Refer? No

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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 1265503304, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 5 → 10 → 1 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 2 + 5 + 1 + 0 + 0 + 6 + 3 + 0 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1265503304.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Counselor (Professional)
13831 NW CORNELL RD, SUITE 104
PORTLAND, OR 97229
Dentist (General Practice)
13831 NW CORNELL RD, SUITE A
PORTLAND, OR 97229
Psychologist (Clinical)
13831 NW CORNELL RD, SUITE 101
PORTLAND, OR 97229
Massage Therapist
13831 NW CORNELL RD, SUITE 102
PORTLAND, OR 97229
Marriage & Family Therapist
13831 NW CORNELL RD, SUITE 104
PORTLAND, OR 97229
Dentist (Pediatric Dentistry)
13831 NW CORNELL RD, C
PORTLAND, OR 97229
Dentist
13831 NW CORNELL RD, SUITE C
PORTLAND, OR 97229
Dentist (General Practice)
13831 NW CORNELL RD
PORTLAND, OR 97229
Dentist (General Practice)
13831 NW CORNELL RD
PORTLAND, OR 97229
Dental Hygienist
13831 NW CORNELL RD
PORTLAND, OR 97229
Dentist (General Practice)
13831 NW CORNELL RD
PORTLAND, OR 97229
Psychologist (Cognitive & Behavioral)
13831 NW CORNELL RD, SUITE 103
PORTLAND, OR 97229
Psychologist (Cognitive & Behavioral)
13831 NW CORNELL RD, SUITE 103
PORTLAND, OR 97229

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265503304, enumerated as an "individual" on November 12, 2006.

The provider is located at 13831 NW CORNELL RD 103 PORTLAND, OR 97229 and the phone number is (503) 313-5186.

Psychologist with taxonomy code 103TC1900X and a focus in Counseling.