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PORTLAND MENTAL HEALTH & WELLNESS
NPI 1588041388
Psychologist - Clinical in Portland, OR

Active since April 30, 2015CLIA 38D2140159 · Waiver
905 SE 14TH AVE, PORTLAND, OR 97214(503) 622-8964 Get Directions Write a Review

NPPES record last updated: November 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 5, 2023, Mar 17, 2018, Nov 10, 2017 and 1 more (4 updates tracked since 2017).

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, maintains 2 additional practice locations, and lists Brad Larsen, Psychologist/owner, as its authorized official.

NPPES Registry Identity

NPI1588041388
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLARSEN SANCHEZ PSYCHOLOGY, LLC
Location Address905 SE 14TH AVEPortland, OR 97214-2569
Mailing Address905 Se 14th AvePortland, OR 97214-2569 · (503) 715-5468 · Fax (503) 715-5469
Phone(503) 622-8964
Organization SubpartNo
Authorized OfficialBrad LarsenPsychologist/owner · (503) 715-5468
Enumeration DateApril 30, 2015
Last NPPES UpdateNovember 5, 20234 updates tracked since enumeration
NPPES CertifiedNovember 5, 2023
✔ NPI 1588041388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
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.
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
905 SE 14TH AVE, Portland, OR 97214
Open in Google Maps ↗

Other Names 1

Doing Business AsPortland Mental Health & Wellness

Secondary Practice Locations 2

Location 13050 SE Division St Ste 215Portland, OR 97202-1451 · Phone (503) 715-5468
Location 2812 SW Washington St Ste 700Portland, OR 97205-3200 · Phone (503) 622-8964

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2140159

Portland Mental Health & Wellness · Portland, OR
Active · expires Nov 14, 2027
CLIA Number38D2140159
Laboratory TypePractitioner Other
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorTaylor Long
Laboratory Phone(503) 622-8964
Laboratory LocationPortland Mental Health & Wellness905 SE 14th Ave, Portland, OR 97214
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CELINA SUSANA CASTILLO CHAVEZ
Counselor (Mental Health)
905 SE 14TH AVE
PORTLAND, OR 97214
Multnomah County (503) 622-8964
SHANNON TRUBATCH
Student in an Organized Health Care Education/Training Program
905 SE 14TH AVE
PORTLAND, OR 97214
Multnomah County (503) 622-8964
KHEFRI AZURE
Social Worker
905 SE 14TH AVE
PORTLAND, OR 97214
Multnomah County (503) 622-8964
HANNAH PHYL WESTBROCK
Counselor (Mental Health)
905 SE 14TH AVE
PORTLAND, OR 97214
Multnomah County (503) 622-8964
JENNIFER NOEL EBY
Counselor (Mental Health)
905 SE 14TH AVE
PORTLAND, OR 97214
Multnomah County (503) 622-8964
JESSICA GRUENSTEIN MA
Counselor (Mental Health)
905 SE 14TH AVE
PORTLAND, OR 97214
Multnomah County (503) 622-8964
RONALD BROWN
Counselor (Mental Health)
905 SE 14TH AVE
PORTLAND, OR 97214
Multnomah County (971) 716-2173
ABEYTAX BARANA LPCA
Counselor (Mental Health)
905 SE 14TH AVE
PORTLAND, OR 97214
Multnomah County (503) 622-8964

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larsen Sanchez Psychology, LLC's NPI number?

The NPI number for Larsen Sanchez Psychology, LLC is 1588041388. It was assigned to this organization in the NPPES registry on April 30, 2015. The provider is doing business as Portland Mental Health & Wellness.

Where is Larsen Sanchez Psychology, LLC located?

Larsen Sanchez Psychology, LLC is located at 905 SE 14th Ave, Portland, OR 97214. The listed phone number is (503) 622-8964.

What is Larsen Sanchez Psychology, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Does Larsen Sanchez Psychology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2140159) is associated with this NPI, valid through November 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Larsen Sanchez Psychology, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Larsen Sanchez Psychology, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Larsen Sanchez Psychology, LLC was last updated on November 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.