LANE DEWAN PSY.D.
NPI 1174848022
Psychologist - Clinical in Tigard, OR
NPI Status: Active since April 05, 2010
Contact Information
11575 SW PACIFIC HWY # 1031
TIGARD, OR
ZIP 97223
Phone: (503) 395-5122
- Individual
- Female
- Psychologist
- Clinical
- Opted-Out Medicare
About LANE DEWAN
This page provides the complete NPI Profile along with additional information for Lane Dewan, a provider established in Tigard, Oregon with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1174848022 assigned on April 2010. The practitioner's primary taxonomy code is 103TC0700X with license number 1949 (OR). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1174848022
- Provider Name
- LANE DEWAN PSY.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 11575 SW PACIFIC HWY # 1031 TIGARD, OR 97223
- Location Phone
- (503) 395-5122
- Mailing Address
- 11575 SW PACIFIC HWY # 1031 TIGARD, OR 97223
- Mailing Phone
- (503) 395-5122
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-05-2010
- Last Update Date
- 07-02-2020
- Code Navigator
A clinical psychologist like Lane Dewan assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help 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. Lane Dewan opted out of Medicare effective on 12-13-2023 until 12-13-2025. 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 and cannot order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 1901 Esther Street Hazelden Springbrook Mental Health
Newberg, OR 97132
(503) 538-1174
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
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1949
- License State
- OR
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
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.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 12-13-2023
Opt-Out End Date: 12-13-2025
Eligible to Order and Refer? No
Reviews for LANE DEWAN 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. | |||||||||
| 1 | 1 | 7 | 4 | 8 | 4 | 8 | 0 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 16 | 4 | 16 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 6 + 4 + 1 + 6 + 0 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1174848022 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174848022, enumerated in the NPI registry as an "individual" on April 05, 2010
The provider is located at 11575 Sw Pacific Hwy # 1031 Tigard, Or 97223 and the phone number is (503) 395-5122
The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical
No, the provider signed an affidavit on December 13, 2023 to opt-out of the Medicare program. The provider is excluded from the Medicare program until December 13, 2025.
This NPI record was last updated on April 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].
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