SUNDSTROM CLINICAL SERVICES LLC
NPI 1669508412
Psychologist in West Linn, OR

Active since February 26, 2007
21900 WILLAMETTE DR STE 202, WEST LINN, OR 97068(503) 653-0631(503) 653-1464 Get Directions Write a Review

NPPES record last updated: January 30, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sundstrom Clinical Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNDSTROM CLINICAL SERVICES LLC (NPI 1669508412) is a healthcare organization registered as a psychologist in West Linn, Oregon and active in the NPI registry since February 2007. The organization lists Carol Lazrine, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1669508412
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameSUNDSTROM CLINICAL SERVICES LLC
Location Address21900 WILLAMETTE DR STE 202West Linn, OR 97068-3284
Mailing Address21900 Willamette Dr Ste 202West Linn, OR 97068-3284 · (503) 653-0631 · Fax (503) 653-1464
Fax(503) 653-1464
Organization SubpartNo
Authorized OfficialCarol LazrinePractice Administrator · (503) 653-0631
Enumeration DateFebruary 26, 2007
Last NPPES UpdateJanuary 30, 2018
✔ NPI 1669508412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in OR · 01229457-2
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
21900 WILLAMETTE DR STE 202, West Linn, OR 97068

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sundstrom Clinical Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sundstrom Clinical Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1871787754
21900 WILLAMETTE DR STE 120
West Linn, OR 97068
(503) 653-0631
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sundstrom Clinical Services LLC's NPI number?

The NPI number for Sundstrom Clinical Services LLC is 1669508412. It was assigned to this organization in the NPPES registry on February 26, 2007.

Where is Sundstrom Clinical Services LLC located?

Sundstrom Clinical Services LLC is located at 21900 Willamette Dr Ste 202, West Linn, OR 97068. The listed phone number is (503) 653-0631.

What is Sundstrom Clinical Services LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Sundstrom Clinical Services LLC enrolled in Medicare?

Yes. Sundstrom Clinical Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sundstrom Clinical Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Sundstrom Clinical Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sundstrom Clinical Services LLC accept?

Health plans from Moda Health Plan, Inc. list Sundstrom Clinical Services 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 Sundstrom Clinical Services LLC was last updated on January 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.