WILLIAM TRUEBLOOD PC
NPI 1467752303
Clinical Neuropsychologist in Bend, OR

NPI Status: Active since October 26, 2010

Contact Information

26 NW IRVING AVE
BEND, OR
ZIP 97701
Phone: (541) 385-5203

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  • Organization
  • Clinical Neuropsychologist
  • Accepts Insurance

About WILLIAM TRUEBLOOD PC

This page provides the complete NPI Profile along with additional information for William Trueblood Pc, a provider established in Bend, Oregon operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1467752303 assigned on October 2010. The practitioner's primary taxonomy code is 103G00000X with license number 1200 (OR). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is William Trueblood Trueblood (President)

NPI
1467752303
Provider Name
WILLIAM TRUEBLOOD PC
Entity Type
Organization
Location Address
26 NW IRVING AVE BEND, OR 97701
Location Phone
(541) 385-5203
Mailing Address
26 NW IRVING AVE BEND, OR 97701
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-26-2010
Last Update Date
10-26-2010
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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

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
1200
License State
OR
Taxonomy Description
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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 7750 - 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
  • Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Bronze HDHP 7500 - EPO
  • Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILLIAM TRUEBLOOD TRUEBLOOD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(541) 385-5203

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
R81901MEDICARE UPIN (02)OR 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1467752303
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24127145430
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 1 + 4 + 5 + 4 + 3 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1467752303 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

GEOFFREY H BARTOL PH.D.

Psychologist

(Clinical)

26 NW IRVING AVE
BEND, OR
ZIP 97701

(541) 385-5203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467752303, enumerated as an "organization" on October 26, 2010.

The provider is located at 26 NW IRVING AVE BEND, OR 97701 and the phone number is (541) 385-5203.

Clinical Neuropsychologist with taxonomy code 103G00000X.

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