DR. KEN KORNELIS PH.D
NPI 1538360003
Psychologist - Clinical in Lake Oswego, OR
NPI Status: Active since May 30, 2007
Contact Information
15110 BOONES FERRY RD
STE 100E
LAKE OSWEGO, OR
ZIP 97035
Phone: (503) 538-6045
Fax: (503) 538-1598
- Individual
- Male
- Psychologist
- Clinical
- Accepts Insurance
About KEN KORNELIS
This page provides the complete NPI Profile along with additional information for Ken Kornelis, a provider established in Lake Oswego, Oregon with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1538360003 assigned on May 2007. The practitioner's primary taxonomy code is 103TC0700X with license number 872 (OR). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1538360003
- Provider Name
- DR. KEN KORNELIS PH.D
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 15110 BOONES FERRY RD STE 100E LAKE OSWEGO, OR 97035
- Location Phone
- (503) 538-6045
- Location Fax
- (503) 538-1598
- Mailing Address
- 15110 BOONES FERRY RD STE 100E LAKE OSWEGO, OR 97035
- Mailing Phone
- (503) 636-8654
- Mailing Fax
- (503) 538-1598
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-30-2007
- Last Update Date
- 09-15-2017
- Code Navigator
A clinical psychologist like Ken Kornelis 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.
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.
- 872
- 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
- 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
- Connect 1500 Gold - EPO
- Connect 5000 Silver - EPO
- Connect 9200 Bronze - EPO
- HSA Qualified 7100 Bronze - Signature Network - EPO
- HSA Qualified 7100 Bronze - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Gold 2300 Legacy - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Bronze Plan Legacy - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Legacy - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Legacy - 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 |
|---|---|---|---|
| 101101 | MEDICARE ID-TYPE UNSPECIFIED (04) | 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. | |||||||||
| 1 | 5 | 3 | 8 | 3 | 6 | 0 | 0 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 6 | 6 | 0 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 6 + 6 + 0 + 0 + 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 = 3 | 3 | ||||||||
The NPI number 1538360003 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 19 providers are registered at the same or nearby location.
DR. TANYA ELIZABETH HUDSON ND
Naturopath
15110 BOONES FERRY RD
380
LAKE OSWEGO, OR
ZIP 97035
LOCC PATRICIA FINLEY PHD LLC
Psychologist
(Clinical)
15110 BOONES FERRY RD
220
LAKE OSWEGO, OR
ZIP 97035
DR. BARRY TRAVIS JONES PH.D.
Psychologist
15110 BOONES FERRY RD
STE. 350
LAKE OSWEGO, OR
ZIP 97035
DR. DOUGLAS RICHARD KUTNER PH.D.
Psychologist
(Clinical)
15110 BOONES FERRY RD
SUITE 350
LAKE OSWEGO, OR
ZIP 97035
MS. DIANE LEONA ULICSNI C. HT
Specialist
15110 BOONES FERRY RD
SUITE 245
LAKE OSWEGO, OR
ZIP 97035
TANYA HUDSON, ND, LLC
Naturopath
15110 BOONES FERRY RD
STE 380
LAKE OSWEGO, OR
ZIP 97035
MISS SERENITY CELESTIA ACKLEY LMT
Massage Therapist
15110 BOONES FERRY RD
SUITE 100C
LAKE OSWEGO, OR
ZIP 97035
MRS. TABITHA RENEE THURSTON LMT
Massage Therapist
15110 BOONES FERRY RD
SUITE 100-C
LAKE OSWEGO, OR
ZIP 97035
DR. JESSICA M EVANS ND
Naturopath
15110 BOONES FERRY RD
STE 380
LAKE OSWEGO, OR
ZIP 97035
VALENTYNA DINWIDDIE
Massage Therapist
15110 BOONES FERRY RD
100-C
LAKE OSWEGO, OR
ZIP 97035
DR. SABRINA J. MARCUS DC
Chiropractor
15110 BOONES FERRY RD
SUITE 380
LAKE OSWEGO, OR
ZIP 97035
LAKE OSWEGO MASSAGE THERAPY
Massage Therapist
15110 BOONES FERRY RD
#220
LAKE OSWEGO, OR
ZIP 97035
CORINNE CRISTINA LAZO
Massage Therapist
15110 BOONES FERRY RD
LAKE OSWEGO, OR
ZIP 97035
HANNA MARIA THOMPSON LMT
Massage Therapist
15110 BOONES FERRY RD
LAKE OSWEGO, OR
ZIP 97035
JENNIFER L NIEVES
Massage Therapist
15110 BOONES FERRY RD
LAKE OSWEGO, OR
ZIP 97035
MRS. REBECCA ANN SNUGGS
Massage Therapist
15110 BOONES FERRY RD
LAKE OSWEGO, OR
ZIP 97035
STEPHANI SHAVER LCSW LLC
Social Worker
(Clinical)
15110 BOONES FERRY RD
#220
LAKE OSWEGO, OR
ZIP 97035
SARA ALEXIS MILLER LAC
Acupuncturist
15110 BOONES FERRY RD
LAKE OSWEGO, OR
ZIP 97035
MS. SAMANTHA O'BRIEN L.AC., LMT
Acupuncturist
15110 BOONES FERRY RD
220
LAKE OSWEGO, OR
ZIP 97035
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538360003, enumerated as an "individual" on May 30, 2007.
The provider is located at 15110 BOONES FERRY RD STE 100E LAKE OSWEGO, OR 97035 and the phone number is (503) 538-6045.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.
