PSYCHOLOGICAL SERVICES CONNECTION LLC
NPI 1275260465
Psychologist in Portland, OR

NPI Status: Active since August 07, 2022

Contact Information

811 SW 6TH AVE STE 1000
PORTLAND, OR
ZIP 97204
Phone: (503) 334-3035
Fax: (503) 961-9212

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  • Organization
  • Psychologist
  • Accepts Insurance

About PSYCHOLOGICAL SERVICES CONNECTION LLC

This page provides the complete NPI Profile along with additional information for Psychological Services Connection Llc, a provider established in Portland, Oregon operating as a Psychologist. The healthcare provider is registered in the NPI registry with number 1275260465 assigned on August 2022. The practitioner's primary taxonomy code is 103T00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Psychological Services Connection Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Julie Keanaaina Mba, Lcsw, Licsw (Owner)

NPI
1275260465
Provider Legal Name
PSYCHOLOGICAL SERVICES CONNECTION LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
811 SW 6TH AVE STE 1000 PORTLAND, OR 97204
Location Phone
(503) 334-3035
Location Fax
(503) 961-9212
Mailing Address
811 SW 6TH AVE STE 1000 PORTLAND, OR 97204
Mailing Phone
(503) 334-3035
Mailing Fax
(503) 961-9212
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-07-2022
Last Update Date
03-20-2025
Code Navigator

A psychologist like Psychological Services Connection 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.

Location Map

Secondary Locations

  • 222 NW Davis St Ste 309
    Portland, OR 97209
    (503) 927-7724

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.

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)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 
2104100000XBehavioral Health & Social Service Providers

Social Worker

 
3106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

 
4261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
5363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

 

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 8000 Individual Connect - EPO
  • 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

JULIE KEANAAINA MBA, LCSW, LICSW

Authorized Official Title
OWNER
Authorized Official Phone
(503) 927-7724

Reviews for PSYCHOLOGICAL SERVICES CONNECTION 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 1275260465, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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

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 + 4 + 6 + 0 + 4 + 1 + 2 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1275260465.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Social Worker
811 SW 6TH AVE STE 1000
PORTLAND, OR 97204
Social Worker (Clinical)
811 SW 6TH AVE STE 1000
PORTLAND, OR 97204
Counselor
811 SW 6TH AVE STE 1000
PORTLAND, OR 97204
Psychologist (Clinical)
811 SW 6TH AVE STE 1000
PORTLAND, OR 97204
Counselor (Mental Health)
811 SW 6TH AVE STE 1000
PORTLAND, OR 97204
Social Worker (Clinical)
811 SW 6TH AVE STE 1000
PORTLAND, OR 97204
Nurse Practitioner (Psychiatric/Mental Health)
811 SW 6TH AVE STE 1000
PORTLAND, OR 97204
Student in an Organized Health Care Education/Training Program
811 SW 6TH AVE STE 1000
PORTLAND, OR 97204
Social Worker (Clinical)
811 SW 6TH AVE STE 1000
PORTLAND, OR 97204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275260465, enumerated as an "organization" on August 07, 2022.

The provider is located at 811 SW 6TH AVE STE 1000 PORTLAND, OR 97204 and the phone number is (503) 334-3035.

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.