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MR. CHRISTOPHER JAY LUNDELL
NPI 1972032548
Psychologist - Clinical in Portland, OR

Active since June 07, 2017Opted out of Medicare · through Feb 12, 2028
4004 NE 77TH AVE, PORTLAND, OR 97213(971) 227-5063 Get Directions Write a Review

NPPES record last updated: February 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2020, Jun 7, 2017 (2 updates tracked since 2017).

About Mr. Christopher Jay Lundell NPPES

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

MR. CHRISTOPHER JAY LUNDELL (NPI 1972032548) is an individual clinical provider in Portland, Oregon, licensed in Washington (PY60936143) and active in the NPI registry since June 2017. He has opted out of Medicare through February 12, 2028.

NPPES Registry Identity

NPI1972032548
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMR. CHRISTOPHER JAY LUNDELL
Location Address4004 NE 77TH AVEPortland, OR 97213-6438
Mailing Address4004 Ne 77th AvePortland, OR 97213-6438
Phone(971) 227-5063
Sole ProprietorNo
Enumeration DateJune 7, 2017
Last NPPES UpdateFebruary 28, 20202 updates tracked since enumeration
✔ NPI 1972032548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WA · PY60936143
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.
4004 NE 77TH AVE, Portland, OR 97213
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Christopher Jay Lundell has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 12, 2020 through February 12, 2028.

Opt-Out Effective DateFebruary 12, 2020
Opt-Out In Effect ThroughFebruary 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Christopher Lundell's NPI number?

The NPI number for Christopher Lundell is 1972032548. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Where is Christopher Lundell located?

Christopher Lundell practices at 4004 NE 77th Ave, Portland, OR 97213. The listed phone number is (971) 227-5063.

What is Christopher Lundell's specialty?

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

Is Christopher Lundell enrolled in Medicare?

No. Christopher Lundell has opted out of Medicare through February 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Christopher Lundell was last updated on February 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.