PORTLAND DBT PROGRAM
NPI 1619913787
Psychologist - Cognitive & Behavioral in Portland, OR

NPI Status: Active since June 20, 2006

Contact Information

5200 SW MACADAM AVE
STE 580
PORTLAND, OR
ZIP 97239
Phone: (503) 231-7854
Fax: (503) 231-8153

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  • Organization
  • Psychologist
  • Cognitive & Behavioral

About PORTLAND DBT PROGRAM

This page provides the complete NPI Profile along with additional information for Portland Dbt Program, a provider established in Portland, Oregon operating as a Psychologist, focusing in cognitive & behavioral . The healthcare provider is registered in the NPI registry with number 1619913787 assigned on June 2006. The practitioner's primary taxonomy code is 103TB0200X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Portland Dbt Program. The authorized official of this NPI record is Amberly Martinson Bs (Office Manager)

NPI
1619913787
Provider Legal Name
PORTLAND DIALECTICAL BEHAVIOR THERAPY PC
Other Organization Name
PORTLAND DBT PROGRAM
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
5200 SW MACADAM AVE STE 580 PORTLAND, OR 97239
Location Phone
(503) 231-7854
Location Fax
(503) 231-8153
Mailing Address
5200 SW MACADAM AVE STE 580 PORTLAND, OR 97239
Mailing Phone
(503) 231-7854
Mailing Fax
(503) 231-8153
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-20-2006
Last Update Date
06-05-2008
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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 Cognitive & Behavioral

Taxonomy Code
103TB0200X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

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:

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

AMBERLY MARTINSON BS

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(503) 231-7854

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
136771MEDICARE PIN (08)OR 
240095MEDICAID (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 1619913787, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

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
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
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 9 → 18 → 9 3 → 6 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 2 + 9 + 1 + 8 + 1 + 6 + 7 + 1 + 6 + 24 = 73

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

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1619913787.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist (Pediatrics)
5200 SW MACADAM AVE
PORTLAND, OR 97239
Psychologist
5200 SW MACADAM AVE, #580
PORTLAND, OR 97239
Speech-Language Pathologist
5200 SW MACADAM AVE, SUITE 100
PORTLAND, OR 97239
Speech-Language Pathologist
5200 SW MACADAM AVE
PORTLAND, OR 97239
Physical Therapist
5200 SW MACADAM AVE, SUITE 100
PORTLAND, OR 97239
Psychologist (Clinical)
5200 SW MACADAM AVE, # 580
PORTLAND, OR 97239
Physical Therapist
5200 SW MACADAM AVE, STE 100, THERAPY SOLUTIONS FOR KIDS
PORTLAND, OR 97239
Speech-Language Pathologist
5200 SW MACADAM AVE, SUITE 100
PORTLAND, OR 97239
Counselor (Mental Health)
5200 SW MACADAM AVE
PORTLAND, OR 97239
Social Worker (Clinical)
5200 SW MACADAM AVE, SUITE 580
PORTLAND, OR 97239
Counselor (Professional)
5200 SW MACADAM AVE, SUITE 580
PORTLAND, OR 97239
Psychologist (Clinical)
5200 SW MACADAM AVE, SUITE 580
PORTLAND, OR 97239
Occupational Therapist
5200 SW MACADAM AVE, SUITE 100
PORTLAND, OR 97239
Psychologist (Cognitive & Behavioral)
5200 SW MACADAM AVE, SUIDE 580
PORTLAND, OR 97239
Counselor
5200 SW MACADAM AVE, STE 580
PORTLAND, OR 97239
Psychologist (Clinical)
5200 SW MACADAM AVE, SUITE 580
PORTLAND, OR 97239
Case Manager/Care Coordinator
5200 SW MACADAM AVE, SUITE 580
PORTLAND, OR 97239
Counselor
5200 SW MACADAM AVE, SUITE 580
PORTLAND, OR 97239
Counselor (Mental Health)
5200 SW MACADAM AVE, SUITE 580
PORTLAND, OR 97239
Psychologist (Clinical)
5200 SW MACADAM AVE, SUITE 160
PORTLAND, OR 97239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619913787, enumerated as an "organization" on June 20, 2006.

The provider is located at 5200 SW MACADAM AVE STE 580 PORTLAND, OR 97239 and the phone number is (503) 231-7854.

Psychologist with taxonomy code 103TB0200X and a focus in Cognitive & Behavioral.

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