PORTLAND MENTAL HEALTH & WELLNESS
NPI 1588041388
Psychologist - Clinical in Portland, OR
About Portland Mental Health & Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PORTLAND MENTAL HEALTH & WELLNESS (NPI 1588041388) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through November 14, 2027 and lists Brad Larsen, Psychologist/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
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.
Other Names 1
Accepted Insurance
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D2140159
- Facility Type
- Practitioner Other
- Certificate Effective Date
- November 15, 2025
- Certificate Expiration Date
- November 14, 2027
- Laboratory Director
- TAYLOR LONG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Portland Mental Health & Wellness to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PORTLAND, OR 97214
PORTLAND, OR 97214
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588041388, enumerated as an "organization" on April 30, 2015.
The provider is located at 905 SE 14TH AVE PORTLAND, OR 97214 and the phone number is (503) 622-8964.
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.
