DR. DEBORAH WISE PH. D.
NPI 1376694554
Psychologist - Clinical in Portland, OR
NPI Status: Active since January 15, 2007
Contact Information
1962 NW KEARNEY ST
SUITE 201
PORTLAND, OR
ZIP 97209
Phone: (503) 381-1871
Fax: (503) 222-2136
- Individual
- Female
- Psychologist
- Clinical
- Accepts Insurance
- Opted-Out Medicare
About DEBORAH WISE
This page provides the complete NPI Profile along with additional information for Deborah Wise, a provider established in Portland, Oregon with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1376694554 assigned on January 2007. The practitioner's primary taxonomy code is 103TC0700X with license number 1669 (OR). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1376694554
- Provider Name
- DR. DEBORAH WISE PH. D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1962 NW KEARNEY ST SUITE 201 PORTLAND, OR 97209
- Location Phone
- (503) 381-1871
- Location Fax
- (503) 222-2136
- Mailing Address
- 1962 NW KEARNEY ST SUITE 201 PORTLAND, OR 97209
- Mailing Phone
- (503) 381-1871
- Mailing Fax
- (503) 222-2136
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-15-2007
- Last Update Date
- 07-08-2007
- Code Navigator
A clinical psychologist like Deborah Wise assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Deborah Wise opted out of Medicare effective on 05-06-2020 until 05-06-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
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 Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1669
- License State
- OR
- Taxonomy Description
- 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.
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
- Bronze 8000 Individual Connect - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Legacy - EPO
- Bronze HSA 7000 Individual Connect - EPO
- Gold 2300 Individual Connect - EPO
- Gold 2300 Legacy - EPO
- Regence Standard Bronze Plan Individual Connect - EPO
- Regence Standard Bronze Plan Legacy - EPO
- Regence Standard Gold Plan Individual Connect - EPO
- Regence Standard Gold Plan Legacy - EPO
- Regence Standard Silver Plan Individual Connect - EPO
- Regence Standard Silver Plan Legacy - EPO
- Silver 6500 Individual Connect - EPO
- Silver 6500 Legacy - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 05-06-2020
Opt-Out End Date: 05-06-2026
Eligible to Order and Refer? No
Reviews for DR. DEBORAH WISE PH. D.
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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 1376694554, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
PORTLAND, OR 97209
PORTLAND, OR 97209
PORTLAND, OR 97209
PORTLAND, OR 97209
PORTLAND, OR 97209
PORTLAND, OR 97209
PORTLAND, OR 97209
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376694554, enumerated as an "individual" on January 15, 2007.
The provider is located at 1962 NW KEARNEY ST SUITE 201 PORTLAND, OR 97209 and the phone number is (503) 381-1871.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
The provider might be accepting Accepts: BridgeSpan Health Company and Regence BlueCross. Please consult your insurance carrier or call the provider to verify.
