PAUL EDWARD GUASTADISEGNI PH.D.
NPI 1356460901
Psychologist - Intellectual and Developmental Disabilities in Portland, OR

NPI Status: Active since March 28, 2007

Contact Information

511 SW 10TH AVE
SUITE 1115
PORTLAND, OR
ZIP 97205
Phone: (503) 223-7766
Fax: (503) 223-8844

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  • Individual
  • Male
  • Psychologist
  • Intellectual and Developmental Disabilit...
  • Accepts Insurance

About PAUL GUASTADISEGNI

This page provides the complete NPI Profile along with additional information for Paul Guastadisegni, a provider established in Portland, Oregon with a medical specialization in Psychologist, focusing in intellectual and developmental disabilities . The healthcare provider is registered in the NPI registry with number 1356460901 assigned on March 2007. The practitioner's primary taxonomy code is 103TM1800X with license number 1307 (OR). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1356460901
Provider Name
PAUL EDWARD GUASTADISEGNI PH.D.
Gender
Male
Entity Type
Individual
Location Address
511 SW 10TH AVE SUITE 1115 PORTLAND, OR 97205
Location Phone
(503) 223-7766
Location Fax
(503) 223-8844
Mailing Address
511 SW 10TH AVE SUITE 1115 PORTLAND, OR 97205
Mailing Phone
(503) 223-7766
Mailing Fax
(503) 223-8844
Is Sole Proprietor?
Yes
Enumeration Date
03-28-2007
Last Update Date
09-11-2025
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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 Intellectual and Developmental Disabilities

Taxonomy Code
103TM1800X
Type
Behavioral Health & Social Service Providers
License No.
1307
License State
OR

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)
1103G00000XBehavioral Health & Social Service Providers

Clinical Neuropsychologist

1307 (OR)
2103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

1307 (OR)
3103TC2200XBehavioral Health & Social Service Providers

Psychologist
Clinical Child & Adolescent

1307 (OR)
4103TF0200XBehavioral Health & Social Service Providers

Psychologist
Forensic

1307 (OR)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • 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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
M39331OTHER (01)OROREGON VENDOR NUMBER
159027MEDICAID (05)OR 

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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 1356460901, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
1
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 5 → 10 → 1 4 → 8 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 0 + 6 + 8 + 6 + 0 + 9 + 0 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1356460901.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Optometrist
511 SW 10TH AVE, SUITE 500
PORTLAND, OR 97205
Optometrist (Vision Therapy)
511 SW 10TH AVE, SUITE 500
PORTLAND, OR 97205
Optometrist
511 SW 10TH AVE, SUITE 500
PORTLAND, OR 97205
Optometrist
511 SW 10TH AVE, SUITE 500
PORTLAND, OR 97205
Dietitian, Registered
511 SW 10TH AVE, 1006
PORTLAND, OR 97205
Dentist (General Practice)
511 SW 10TH AVE, SUITE #707
PORTLAND, OR 97205
Optometrist (Vision Therapy)
511 SW 10TH AVE, SUITE 500
PORTLAND, OR 97205
Dentist (General Practice)
511 SW 10TH AVE, SUITE 1206
PORTLAND, OR 97205
Social Worker (Clinical)
511 SW 10TH AVE, SUITE 614
PORTLAND, OR 97205
Acupuncturist
511 SW 10TH AVE, STE 615
PORTLAND, OR 97205
Allergy & Immunology
511 SW 10TH AVE, SUITE 1301
PORTLAND, OR 97205
Allergy & Immunology (Allergy)
511 SW 10TH AVE, SUITE 1301
PORTLAND, OR 97205
Dentist
511 SW 10TH AVE, SUITE 1206
PORTLAND, OR 97205
Dentist (General Practice)
511 SW 10TH AVE, #1305
PORTLAND, OR 97205
Psychologist (Clinical)
511 SW 10TH AVE, SUITE 400
PORTLAND, OR 97205
Obstetrics & Gynecology (Gynecology)
511 SW 10TH AVE, SUITE 905
PORTLAND, OR 97205
Dentist (General Practice)
511 SW 10TH AVE, #1107
PORTLAND, OR 97205
Dentist (Orthodontics and Dentofacial Orthopedics)
511 SW 10TH AVE, SUITE 1307
PORTLAND, OR 97205
Dentist (General Practice)
511 SW 10TH AVE, #902
PORTLAND, OR 97205
Family Medicine
511 SW 10TH AVE
PORTLAND, OR 97205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356460901, enumerated as an "individual" on March 28, 2007.

The provider is located at 511 SW 10TH AVE SUITE 1115 PORTLAND, OR 97205 and the phone number is (503) 223-7766.

Psychologist with taxonomy code 103TM1800X and a focus in Intellectual and Developmental Disabilities.

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