MYCO VAN PSY.D.
NPI 1295870525
Psychologist - Clinical in Portland, OR
NPI Status: Active since February 21, 2007
Contact Information
1500 NE IRVING ST
SUITE 250
PORTLAND, OR
ZIP 97232
Phone: (503) 233-4356
- Individual
- Female
- Psychologist
- Clinical
- Accepts Insurance
About MYCO VAN
This page provides the complete NPI Profile along with additional information for Myco Van, a provider established in Portland, Oregon with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1295870525 assigned on February 2007. The practitioner's primary taxonomy code is 103TC0700X with license number 1791 (OR). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1295870525
- Provider Name
- MYCO VAN PSY.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1500 NE IRVING ST SUITE 250 PORTLAND, OR 97232
- Location Phone
- (503) 233-4356
- Mailing Address
- 8401 NE HALSEY ST STE 203 PORTLAND, OR 97220
- Mailing Phone
- (503) 867-2289
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-21-2007
- Last Update Date
- 11-07-2009
- Code Navigator
A clinical psychologist like Myco Van 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.
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 Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1791
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- KP OR Bronze 6000 - EPO
- KP OR Bronze HSA 7100 - EPO
- KP OR Gold 0 - EPO
- KP OR Gold 1750 - EPO
- KP OR Silver 3000 - EPO
- KP OR Silver 4000 - EPO
- KP Oregon Standard Bronze Plan - EPO
- KP Oregon Standard Gold Plan - EPO
- KP Oregon Standard Silver Plan - EPO
- KP OR Family Dental - $100 Ded - EPO
- KP OR Family Dental - $1000 - EPO
- KP OR Family Dental - $1000/$50 Ded - 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
- Gold 2300 Legacy - EPO
- Regence Standard Bronze Plan Legacy - EPO
- Regence Standard Gold Plan Legacy - EPO
- Regence Standard Silver Plan Legacy - EPO
- Silver 6200 Legacy - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for MYCO VAN 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 | 2 | 9 | 5 | 8 | 7 | 0 | 5 | 2 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 18 | 5 | 16 | 7 | 0 | 5 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 8 + 5 + 1 + 6 + 7 + 0 + 5 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1295870525 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1952451841 | MR. ANDREW TODD MCWILLIAMS Individual | Counselor (Mental Health) | 1500 NE IRVING ST 250 PORTLAND, OR 97232 (503) 233-4356 |
| 1083757082 | JUDITH R DALE R.N., C Individual | Registered Nurse (Addiction (Substance Use Disorder)) | 1500 NE IRVING ST SUITE 250 PORTLAND, OR 97232 (503) 233-4356 |
| 1639212632 | VICTORIA FELLINGHAM MSW Individual | Social Worker (Clinical) | 1500 NE IRVING ST SUITE 250 PORTLAND, OR 97232 (503) 233-4356 |
| 1952445280 | MAUREEN THERESE MARKEY M.S. Individual | Counselor (Mental Health) | 1500 NE IRVING ST SUITE 250 PORTLAND, OR 97232 (503) 233-4356 |
| 1245374461 | MARIAH SIOBHAN LEBWOHL MSW Individual | Social Worker | 1500 NE IRVING ST SUITE 250 PORTLAND, OR 97232 (503) 233-4356 |
| 1578607701 | MRS. MARY MARGARET MCKENZIE MSW Individual | Social Worker | 1500 NE IRVING ST SUITE 250 PORTLAND, OR 97232 (503) 233-4356 |
| 1205971322 | MS. SHANNON JAMES Individual | Social Worker (Clinical) | 1500 NE IRVING ST SUITE 250 PORTLAND, OR 97232 (503) 258-4539 |
| 1831234707 | EMILY ANN ROOT M.A. Individual | Counselor (Mental Health) | 1500 NE IRVING ST SUITE 250 PORTLAND, OR 97232 (503) 233-4356 |
| 1336284090 | KATHERINE SIMPSON FORTMILLER LCSW Individual | Social Worker (Clinical) | 1500 NE IRVING ST SUITE 250 PORTLAND, OR 97232 (503) 233-4356 |
| 1699810416 | MARSHA LOUISE KNUTSON RN Individual | Registered Nurse | 1500 NE IRVING ST SUITE 250 PORTLAND, OR 97232 (503) 233-4356 |
| 1194860007 | MS. ANN L THOMAS MSW Individual | Social Worker (Clinical) | 1500 NE IRVING ST SUITE 250 PORTLAND, OR 97232 (503) 233-4356 |
| 1861537870 | BARBARA MAE HABERLACH MA Individual | Counselor | 1500 NE IRVING ST SUITE 250 PORTLAND, OR 97232 (503) 233-4356 |
| 1437294634 | TAMARA MARIE MILLER M.A. Individual | Counselor | 1500 NE IRVING ST SUITE 250 PORTLAND, OR 97232 (503) 233-4356 |
| 1821133240 | MS. LISA ANNE TEUTSCH MSW Individual | Social Worker (Clinical) | 1500 NE IRVING ST SUITE 250 PORTLAND, OR 97232 (503) 258-4200 |
| 1740315605 | MS. MARIA NAZZARO M.S.W. Individual | Social Worker (Clinical) | 1500 NE IRVING ST STE 25 PORTLAND, OR 97232 (503) 233-4356 |
| 1508991100 | MRS. SHANON ANNE ALEXANDER MA,LMFT Individual | Marriage & Family Therapist | 1500 NE IRVING ST SUITE 250 PORTLAND, OR 97232 (503) 233-4356 |
| 1790810356 | TERESA LONDOS PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1500 NE IRVING ST SUITE 250 PORTLAND, OR 97232 (503) 233-4356 |
| 1912032301 | ALEXANDRA J SAPERSTEIN M.F.T. Individual | Marriage & Family Therapist | 1500 NE IRVING ST STE 250 PORTLAND, OR 97232 (503) 258-4678 |
| 1043346349 | MRS. SUMMER KRAUSE MA Individual | Counselor | 1500 NE IRVING ST SUITE 250 PORTLAND, OR 97232 (503) 233-4356 |
| 1295861979 | MR. GERALD N BACKUS MA Individual | Counselor | 1500 NE IRVING ST SUITE 250 PORTLAND, OR 97232 (503) 233-4356 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295870525, enumerated in the NPI registry as an "individual" on February 21, 2007
The provider is located at 1500 Ne Irving St Suite 250 Portland, Or 97232 and the phone number is (503) 233-4356
The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical
The provider might be accepting Accepts: Kaiser Permanente, PacificSource Health Plans and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on February 21, 2007. 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.