DR. KAREN E STALLWOOD PSY.D.
NPI 1104149004
Psychologist in Portland, OR

NPI Status: Active since March 05, 2010

Contact Information

3939 NE HANCOCK ST
SUITE 212
PORTLAND, OR
ZIP 97212
Phone: (503) 704-3300

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  • Individual
  • Female
  • Psychologist
  • Accepts Insurance
  • PECOS Enrolled
  • Opted-Out Medicare

About KAREN STALLWOOD

This page provides the complete NPI Profile along with additional information for Karen Stallwood, a provider established in Portland, Oregon with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1104149004 assigned on March 2010. The practitioner's primary taxonomy code is 103T00000X with license number 2060 (OR). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1104149004
Provider Name
DR. KAREN E STALLWOOD PSY.D.
Gender
Female
Entity Type
Individual
Location Address
3939 NE HANCOCK ST SUITE 212 PORTLAND, OR 97212
Location Phone
(503) 704-3300
Mailing Address
3939 NE HANCOCK ST SUITE 212 PORTLAND, OR 97212
Mailing Phone
(503) 704-3300
Is Sole Proprietor?
Yes
Enumeration Date
03-05-2010
Last Update Date
10-13-2011
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A psychologist like Karen Stallwood studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Karen Stallwood opted out of Medicare effective on 01-01-2025 until 01-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

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

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
2060
License State
OR
Taxonomy Description
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.

Insurance Plans Accepted

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

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Navigator Bronze 7000 Exchange - PPO
  • Navigator Bronze 9200 - PPO
  • Navigator Bronze HSA 8050 - PPO
  • Navigator Gold 1500 - PPO
  • Navigator Gold 1500 Exchange - PPO
  • Navigator Gold 500 Exchange - PPO
  • Navigator Silver 3500 Exchange - PPO
  • Navigator Silver 4000 Exchange - PPO
  • Navigator Silver 5000 - PPO
  • Navigator Silver HSA 3500 - PPO
  • Navigator Standard Expanded Bronze - PPO
  • Navigator Standard Gold - PPO
  • Navigator Standard Silver - PPO
  • PacificSource Oregon Standard Bronze Plan NAV - PPO
  • PacificSource Oregon Standard Gold Plan NAV - PPO
  • PacificSource Oregon Standard Silver Plan NAV - PPO
  • Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
  • Bronze HSA 7000 Individual and Family Network - EPO
  • Gold 2300 Individual and Family Network - EPO
  • Gold 2300 Legacy - EPO
  • Regence Standard Bronze Plan Individual and Family Network - EPO
  • Regence Standard Bronze Plan Legacy - EPO
  • Regence Standard Gold Plan Individual and Family Network - EPO
  • Regence Standard Gold Plan Legacy - EPO
  • Regence Standard Silver Plan Individual and Family Network - EPO
  • Regence Standard Silver Plan Legacy - EPO
  • Silver 6200 Individual and Family Network - EPO
  • Silver 6200 Legacy - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Karen Stallwood is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 01-01-2025

  • Opt-Out End Date: 01-01-2027

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for DR. KAREN E STALLWOOD PSY.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104149004
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104241800
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 2 + 4 + 1 + 8 + 0 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1104149004 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1538132006 SHINICHI MORIYAMA L.AC.
Individual
Acupuncturist3939 NE HANCOCK ST SUITE 217
PORTLAND, OR 97212
(503) 419-8025
1225106594 KIM M COTTRELL CCC-SLP
Individual
Speech-Language Pathologist3939 NE HANCOCK ST SUITE 212
PORTLAND, OR 97212
(503) 890-6865
1821120965DR. ELLEN BISCHOFF SUMMERS PH.D.
Individual
Psychologist (Counseling)3939 NE HANCOCK ST
PORTLAND, OR 97212
(503) 819-6044
1710006044MR. PAUL SCOTT SORENSON LCSW
Individual
Social Worker (Clinical)3939 NE HANCOCK ST SUITE 311
PORTLAND, OR 97212
(503) 998-5857
1124221551 DAISY LEMBKE PSYD
Individual
Psychologist (Clinical)3939 NE HANCOCK ST SUITE 215
PORTLAND, OR 97212
(503) 381-0530
1417180423DR. KARIN NEALON D.C.
Individual
Chiropractor3939 NE HANCOCK ST SUITE 213
PORTLAND, OR 97212
(503) 953-0139
1326366907MS. URSULA JOAN WHITE PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)3939 NE HANCOCK ST SUITE #307
PORTLAND, OR 97212
(503) 360-6092
1669758702LAURIE J COX
Organization
Social Worker (Clinical)3939 NE HANCOCK ST SUITE 201
PORTLAND, OR 97212
(503) 819-6354
1558631762LAURA SANTI ACUPUNCTURE
Organization
Acupuncturist3939 NE HANCOCK ST SUITE 208
PORTLAND, OR 97212
(503) 998-8330
1275871915 CAYLA PANITZ
Individual
Counselor (Mental Health)3939 NE HANCOCK ST SUITE 310
PORTLAND, OR 97212
(503) 753-7592
1366886475MRS. YVONNE EILEEN SCHROEDER LMT
Individual
Mechanotherapist3939 NE HANCOCK ST SUITE 311
PORTLAND, OR 97212
(503) 740-5336
1851687032DR. AARON CHARLES VEDERMAN PH.D.
Individual
Clinical Neuropsychologist3939 NE HANCOCK ST SUITE 212
PORTLAND, OR 97212
(503) 810-7973
1366624785 PAUL MARTIN RAKOCZY LCSW, CADC III
Individual
Social Worker (Clinical)3939 NE HANCOCK ST
PORTLAND, OR 97212
(503) 997-8611
1033504188 MOLLY FRYE LCSW
Individual
Social Worker (Clinical)3939 NE HANCOCK ST
PORTLAND, OR 97212
(503) 780-3010
1891799268DR. ANN K MURAKAMI PSYD.
Individual
Psychologist3939 NE HANCOCK ST # 312
PORTLAND, OR 97212
(503) 380-4197
1134112725DR. WENDY GOLDBERG NEWTON PSY.D.
Individual
Psychologist (Clinical)3939 NE HANCOCK ST SUITE 314
PORTLAND, OR 97212
(503) 869-9092
1215478300JESSICA KIERAS LLC
Organization
Psychologist3939 NE HANCOCK ST SUITE 214
PORTLAND, OR 97212
(503) 489-7134
1457564817MS. ORAWAN LAOCHUMNANVANIT PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)3939 NE HANCOCK ST SUITE 301
PORTLAND, OR 97212
(503) 545-6465
1841320009DR. NORMAN PRICE DC
Individual
Chiropractor3939 NE HANCOCK ST
PORTLAND, OR 97212
(503) 298-5744
1497414643INCLUSIVE WELLNESS AND CHIROPRACTIC LLC
Organization
Chiropractor3939 NE HANCOCK ST
PORTLAND, OR 97212
(971) 599-3512

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104149004, enumerated in the NPI registry as an "individual" on March 05, 2010

The provider is located at 3939 Ne Hancock St Suite 212 Portland, Or 97212 and the phone number is (503) 704-3300

The provider's speciality is Psychologist with taxonomy code 103T00000X

The provider might be accepting Accepts: BridgeSpan Health Company, PacificSource Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

No, the provider signed an affidavit on January 01, 2025 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2027.

This NPI record was last updated on March 05, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.