SERENDIB PSYCHOLOGICAL SERVICES, LLC
NPI 1275132979
Psychologist in Lake Oswego, OR

NPI Status: Active since October 22, 2020

Contact Information

14523 WESTLAKE DR
LAKE OSWEGO, OR
ZIP 97035
Phone: (971) 373-0415
Fax: (971) 333-8352

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  • Organization
  • Psychologist
  • Accepts Insurance

About SERENDIB PSYCHOLOGICAL SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Serendib Psychological Services, Llc, a provider established in Lake Oswego, Oregon operating as a Psychologist. The healthcare provider is registered in the NPI registry with number 1275132979 assigned on October 2020. The practitioner's primary taxonomy code is 103T00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Serendib Psychological Services, 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 Dr. Kushanthi Surini Samaratunge Psy.d (Owner)

NPI
1275132979
Provider Name
SERENDIB PSYCHOLOGICAL SERVICES, LLC
Entity Type
Organization
Location Address
14523 WESTLAKE DR LAKE OSWEGO, OR 97035
Location Phone
(971) 373-0415
Location Fax
(971) 333-8352
Mailing Address
14523 WESTLAKE DR LAKE OSWEGO, OR 97035
Mailing Phone
(971) 373-0415
Mailing Fax
(971) 333-8352
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-22-2020
Last Update Date
11-01-2020
Code Navigator

A psychologist like Serendib Psychological Services, Llc studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

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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

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

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:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
  • Bronze HSA 7000 Individual Connect - EPO
  • Gold 2300 Individual Connect - EPO
  • Regence Standard Bronze Plan Individual Connect - EPO
  • Regence Standard Gold Plan Individual Connect - EPO
  • Regence Standard Silver Plan Individual Connect - EPO
  • Silver 6500 Individual Connect - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KUSHANTHI SURINI SAMARATUNGE PSY.D

Authorized Official Title
OWNER
Authorized Official Phone
(971) 373-0415

Reviews for SERENDIB PSYCHOLOGICAL SERVICES, LLC

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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 1275132979, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
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 7 → 14 → 5 1 → 2 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 4 + 5 + 2 + 3 + 4 + 9 + 1 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1275132979.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
14523 WESTLAKE DR, SUITE 8
LAKE OSWEGO, OR 97035
Counselor (Mental Health)
14523 WESTLAKE DR, SUITE 15
LAKE OSWEGO, OR 97035
Psychologist (Clinical)
14523 WESTLAKE DR, SUITE 18
LAKE OSWEGO, OR 97035
Psychologist (Clinical)
14523 WESTLAKE DR, SUITE 11
LAKE OSWEGO, OR 97035
Psychologist (Clinical)
14523 WESTLAKE DR
LAKE OSWEGO, OR 97035
Counselor (Professional)
14523 WESTLAKE DR
LAKE OSWEGO, OR 97035
Psychologist
14523 WESTLAKE DR
LAKE OSWEGO, OR 97035
Durable Medical Equipment & Medical Supplies
14523 WESTLAKE DR
LAKE OSWEGO, OR 97035
Social Worker (Clinical)
14523 WESTLAKE DR, SUITE 8
LAKE OSWEGO, OR 97035
Nurse Practitioner (Psychiatric/Mental Health)
14523 WESTLAKE DR, 4
LAKE OSWEGO, OR 97035
Counselor (Professional)
14523 WESTLAKE DR
LAKE OSWEGO, OR 97035
Clinic/Center (Medical Specialty)
14523 WESTLAKE DR
LAKE OSWEGO, OR 97035

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275132979, enumerated as an "organization" on October 22, 2020.

The provider is located at 14523 WESTLAKE DR LAKE OSWEGO, OR 97035 and the phone number is (971) 373-0415.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.