MYCO VAN PSY.D.
NPI 1295870525
Psychologist - Clinical in Portland, OR

Q: What is Myco Van's NPI number?

The NPI number for Myco Van is 1295870525. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Q: What is Myco Van's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Myco Van was last updated on November 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since February 21, 2007

1500 NE IRVING ST, SUITE 250, PORTLAND, OR 97232(503) 233-4356 Get Directions Write a Review

NPPES record last updated: November 7, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Myco Van Psy.d. NPPES

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

MYCO VAN PSY.D. (NPI 1295870525) is an individual clinical provider in Portland, Oregon, licensed in Oregon (1791) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1295870525

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMYCO VANCredential: PSY.D.

Location Address1500 NE IRVING ST, SUITE 250Portland, OR 97232-2243

Mailing Address8401 Ne Halsey St Ste 203Portland, OR 97220-5670 · (503) 867-2289

Phone(503) 233-4356

Sole ProprietorYes

Enumeration DateFebruary 21, 2007

Last NPPES UpdateNovember 7, 2009

✔ NPI 1295870525 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 · 1791

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.

1500 NE IRVING ST, Portland, OR 97232

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, PacificSource Health Plans, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES BOYDA

Counselor (Mental Health)

1500 NE IRVING ST
PORTLAND, OR 97232

Multnomah County (517) 517-9733

MS. GRACE MITSU MORISHITA

Psychologist

1500 NE IRVING ST, SUITE 250
PORTLAND, OR 97232

Multnomah County (503) 258-4200

AMANDA JEAN TOMASEK LPC-A

Counselor (Mental Health)

1500 NE IRVING ST
PORTLAND, OR 97232

Multnomah County (361) 212-3552

ERIN M HILL M.S.

Counselor (Mental Health)

1500 NE IRVING ST, SUITE 250
PORTLAND, OR 97232

Multnomah County (503) 233-4356

JAMIE MARIE DOLAN

Student in an Organized Health Care Education/Training Program

1500 NE IRVING ST, SUITE 250
PORTLAND, OR 97232

Multnomah County (503) 233-4356

MRS. SUMMER KRAUSE MA

Counselor

1500 NE IRVING ST, SUITE 250
PORTLAND, OR 97232

Multnomah County (503) 233-4356

MISS AIMEE MARAI BROWN BA

Case Manager/Care Coordinator

1500 NE IRVING ST
PORTLAND, OR 97232

Multnomah County (503) 777-8090

BRITTANIA HAUNANI ANOAI-GONZALEZ

Case Manager/Care Coordinator

1500 NE IRVING ST, SUITE 250
PORTLAND, OR 97232

Multnomah County (503) 233-4356

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 Myco Van's NPI number?

The NPI number for Myco Van is 1295870525. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Myco Van located?

Myco Van practices at 1500 NE Irving St Suite 250, Portland, OR 97232. The listed phone number is (503) 233-4356.

What is Myco Van's specialty?

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

What insurance does Myco Van accept?

Health plans from Kaiser Permanente, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Myco Van as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Myco Van was last updated on November 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.