DR. JONATHAN JAMES LUNDY PHD
NPI 1336215805
Psychologist in Portland, OR

Active since November 28, 2006PECOS EnrolledAccepts Medicare Assignment
10000 SE MAIN ST, STE 215, PORTLAND, OR 97216(503) 252-9690(503) 252-2720 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jonathan James Lundy Phd NPPES

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

DR. JONATHAN JAMES LUNDY PHD (NPI 1336215805) is an individual psychologist in Portland, Oregon, licensed in Oregon (612) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1336215805
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JONATHAN JAMES LUNDYCredential: PHD
Location Address10000 SE MAIN ST, STE 215Portland, OR 97216-2442
Mailing Address10000 Se Main St, Ste 215Portland, OR 97216-2442 · (503) 252-9690 · Fax (503) 252-2720
Fax(503) 252-2720
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1336215805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OR · 612
Definition

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.

10000 SE MAIN ST, Portland, OR 97216

Other Identifiers 2

Medicare UPINR77260
Medicare ID-Type Unspecified068WDBBQBOR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jonathan James Lundy Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305996604
PECOS Enrollment IDI20101203000692
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Specialist
10000 SE MAIN ST, STE 203
PORTLAND, OR 97216
Specialist
10000 SE MAIN ST, SUITE 203
PORTLAND, OR 97216
Psychologist (Clinical)
10000 SE MAIN ST
PORTLAND, OR 97216
Dentist (General Practice)
10000 SE MAIN ST, SUITE 101
PORTLAND, OR 97216
Internal Medicine (Cardiovascular Disease)
10000 SE MAIN ST, SUITE 60
PORTLAND, OR 97216
Orthopaedic Surgery
10000 SE MAIN ST, SUITE 128
PORTLAND, OR 97216
Specialist
10000 SE MAIN ST, STE 327
PORTLAND, OR 97216
Physician Assistant
10000 SE MAIN ST, SUITE 327
PORTLAND, OR 97216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336215805, enumerated as an "individual" on November 28, 2006.

The provider is located at 10000 SE MAIN ST STE 215 PORTLAND, OR 97216 and the phone number is (503) 252-9690.

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.