360 PEDIATRIC PSYCHOLOGY, PC
NPI 1902208846
Psychologist - Clinical Child & Adolescent in Lake Oswego, OR

NPI Status: Active since September 23, 2014

Contact Information

201 B AVE.
SUITE #285
LAKE OSWEGO, OR
ZIP 97034
Phone: (503) 636-0508
Fax: (503) 636-0387

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  • Organization
  • Psychologist
  • Clinical Child & Adolescent

About 360 PEDIATRIC PSYCHOLOGY, PC

This page provides the complete NPI Profile along with additional information for 360 Pediatric Psychology, Pc, a provider established in Lake Oswego, Oregon operating as a Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1902208846 assigned on September 2014. The practitioner's primary taxonomy code is 103TC2200X. The provider is registered as an organization and their NPI record was last updated 12 years ago. 360 Pediatric Psychology, Pc 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 Dr. Tabitha Sereua Becker Psy. D (Clinical Psychologist Coowner/partn)

NPI
1902208846
Provider Name
360 PEDIATRIC PSYCHOLOGY, PC
Entity Type
Organization
Location Address
201 B AVE. SUITE #285 LAKE OSWEGO, OR 97034
Location Phone
(503) 636-0508
Location Fax
(503) 636-0387
Mailing Address
201 B AVE. SUITE #285 LAKE OSWEGO, OR 97034
Mailing Phone
(503) 636-0508
Mailing Fax
(503) 636-0387
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-23-2014
Last Update Date
09-23-2014
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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 Clinical Child & Adolescent

Taxonomy Code
103TC2200X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

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)
1103G00000XBehavioral Health & Social Service Providers

Clinical Neuropsychologist

 

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.

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

DR. TABITHA SEREUA BECKER PSY. D

Authorized Official Title
CLINICAL PSYCHOLOGIST COOWNER/PARTN
Authorized Official Phone
(503) 720-9234

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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 1902208846, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
6
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 0 → 0 2 → 4 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 0 + 2 + 4 + 0 + 1 + 6 + 8 + 8 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1902208846.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902208846, enumerated as an "organization" on September 23, 2014.

The provider is located at 201 B AVE. SUITE #285 LAKE OSWEGO, OR 97034 and the phone number is (503) 636-0508.

Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.