MR. GERALD ERIC DECKELBAUM LCSW
NPI 1336235126
Counselor - Mental Health in Portland, OR
About Mr. Gerald Eric Deckelbaum Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GERALD ERIC DECKELBAUM LCSW (NPI 1336235126) is an individual mental health provider in Portland, Oregon, licensed in Oregon (2999) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Gerald Eric Deckelbaum Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PORTLAND, OR 97205
PORTLAND, OR 97205
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 Gerald Deckelbaum's NPI number?
The NPI number for Gerald Deckelbaum is 1336235126. It was assigned to this individual provider in the NPPES registry on October 5, 2006.
Where is Gerald Deckelbaum located?
Gerald Deckelbaum practices at 1020 SW Taylor St #445, Portland, OR 97205. The listed phone number is (503) 224-0033.
What is Gerald Deckelbaum's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Gerald Deckelbaum enrolled in Medicare?
Yes. Gerald Deckelbaum is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Gerald Deckelbaum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mr. Gerald Eric Deckelbaum, LCSW · NPI 1336235126
Mental Health provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since October 5, 2006.
## Identity
- **NPI:** 1336235126 (Entity type: Individual)
- **Enumerated:** October 5, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 2999 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1020 SW TAYLOR ST, #445, Portland, OR 97205-2543
- **Phone:** (503) 224-0033
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1336235126) · Data from the CMS NPPES public registry.