ST MARY'S HOME FOR BOYS
NPI 1619057098
Psychologist - Counseling in Beaverton, OR

NPI Status: Active since October 17, 2006

Contact Information

16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR
ZIP 97006
Phone: (503) 649-5651
Fax: (503) 649-7405

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  • Organization
  • Psychologist
  • Counseling
  • Accepts Insurance

About ST MARY'S HOME FOR BOYS

This page provides the complete NPI Profile along with additional information for St Mary's Home For Boys, a provider established in Beaverton, Oregon operating as a Psychologist, focusing in counseling . The healthcare provider is registered in the NPI registry with number 1619057098 assigned on October 2006. The practitioner's primary taxonomy code is 103TC1900X with license number 891 (OR). The provider is registered as an organization and their NPI record was last updated 13 years ago. St Mary's Home For Boys operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Michael Cole (Assistant Director)

NPI
1619057098
Provider Name
ST MARY'S HOME FOR BOYS
Entity Type
Organization
Location Address
16535 SW TUALATIN VALLEY HWY BEAVERTON, OR 97006
Location Phone
(503) 649-5651
Location Fax
(503) 649-7405
Mailing Address
16535 SW TUALATIN VALLEY HWY BEAVERTON, OR 97006
Mailing Phone
(503) 649-5651
Mailing Fax
(503) 649-7405
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-17-2006
Last Update Date
05-07-2013
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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

Psychologist Counseling

Taxonomy Code
103TC1900X
Type
Behavioral Health & Social Service Providers
License No.
891
License State
OR
Taxonomy Description
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

(OR)
2103T00000XBehavioral Health & Social Service Providers

Psychologist

891 (OR)
3103TB0200XBehavioral Health & Social Service Providers

Psychologist
Cognitive & Behavioral

891 (OR)
4103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

891 (OR)
5103TC2200XBehavioral Health & Social Service Providers

Psychologist
Clinical Child & Adolescent

891 (OR)
6106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

T0433 (OR)
72084P0804XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Child & Adolescent Psychiatry

17887 (OR)
8261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

(OR)
9283Q00000XHospitals

Psychiatric Hospital

17887 (OR)
10322D00000XResidential Treatment Facilities

Residential Treatment Facility, Emotionally Disturbed Children

(OR)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature 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
  • Providence Oregon Standard Silver Plan - Signature Network - 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

MR. MICHAEL COLE

Authorized Official Title
ASSISTANT DIRECTOR
Authorized Official Phone
(503) 259-3201

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
210855MEDICAID (05)OR 

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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 1619057098, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 1 → 2 0 → 0 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 0 + 5 + 1 + 4 + 0 + 1 + 8 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1619057098.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Psychologist
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006
Counselor (Mental Health)
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006
Counselor (Mental Health)
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006
Counselor (Mental Health)
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006
Counselor (Mental Health)
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006
Counselor (Mental Health)
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006
Marriage & Family Therapist
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619057098, enumerated as an "organization" on October 17, 2006.

The provider is located at 16535 SW TUALATIN VALLEY HWY BEAVERTON, OR 97006 and the phone number is (503) 649-5651.

Psychologist with taxonomy code 103TC1900X and a focus in Counseling.

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