SERENDIPITY CENTER INC
NPI 1346244902
Clinic/Center - Adolescent and Children Mental Health in Portland, OR
NPI Status: Active since June 10, 2005
Contact Information
14815 SE DIVISION ST
PORTLAND, OR
ZIP 97236
Phone: (503) 761-7139
Fax: (503) 761-7917
- Organization
- Clinic/Center
- Adolescent and Children Mental Health
- CLIA Number: 38D2223074
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 05-03-2025
About SERENDIPITY CENTER INC
This page provides the complete NPI Profile along with additional information for Serendipity Center Inc, a provider established in Portland, Oregon operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1346244902 assigned on June 2005. The practitioner's primary taxonomy code is 261QM0855X with license number 0273879-1 (OR). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mrs. Beverly J Wright (Assistant Director)
- NPI
- 1346244902
- Provider Name
- SERENDIPITY CENTER INC
- Entity Type
- Organization
- Location Address
- 14815 SE DIVISION ST PORTLAND, OR 97236
- Location Phone
- (503) 761-7139
- Location Fax
- (503) 761-7917
- Mailing Address
- PO BOX 33350 PORTLAND, OR 97292
- Mailing Phone
- (503) 761-7139
- Mailing Fax
- (503) 761-7917
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-10-2005
- Last Update Date
- 08-22-2020
- Code Navigator
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
Clinic/Center Adolescent and Children Mental Health
- Taxonomy Code
- 261QM0855X
- Type
- Ambulatory Health Care Facilities
- License No.
- 0273879-1
- License State
- OR
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D2223074
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- May 04, 2023
- Certificate Expiration Date
- May 03, 2025
- Laboratory Director
- HEATHER L. HARRY-AMSDEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Serendipity Center Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 3 | 4 | 6 | 2 | 4 | 4 | 9 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 4 | 4 | 8 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 4 + 4 + 8 + 9 + 0 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1346244902 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1932254505 | MRS. CHIFUMI BROWN M.A. Individual | Counselor (Professional) | 14815 SE DIVISION ST PORTLAND, OR 97236 (503) 761-7139 |
| 1144367442 | MRS. KRISTIN DAVIS HARQUAIL QMHP Individual | Counselor | 14815 SE DIVISION ST PORTLAND, OR 97236 (503) 761-7139 |
| 1497893739 | MRS. JACKIE SIEGEL TRUSSELL LCSW Individual | Social Worker (Clinical) | 14815 SE DIVISION ST PORTLAND, OR 97236 (503) 761-7139 |
| 1538207816 | DARCI LYNN O'HERN Individual | Social Worker (Clinical) | 14815 SE DIVISION ST PORTLAND, OR 97236 (503) 761-7139 |
| 1861532624 | TRACY DELORES BUSKIRK CMA Individual | Nurse's Aide | 14815 SE DIVISION ST PORTLAND, OR 97236 (503) 761-7139 |
| 1851432181 | LIN M REICHHOFF LCSW Individual | Social Worker (Clinical) | 14815 SE DIVISION ST PORTLAND, OR 97236 (503) 761-7139 |
| 1437290939 | JENNIFER E RONDEMA MSW Individual | Social Worker (Clinical) | 14815 SE DIVISION ST PORTLAND, OR 97236 (503) 761-7139 |
| 1750422085 | MS. MADELYN JOSEPHINE SPAIN M.S.E.D. Individual | Counselor (School) | 14815 SE DIVISION ST PORTLAND, OR 97236 (503) 761-7139 |
| 1831306638 | MS. SARAH E ALBERT Individual | Counselor | 14815 SE DIVISION ST PORTLAND, OR 97236 (503) 914-7654 |
| 1063629863 | MRS. KIMBERLY D GALINDO Individual | Counselor (Mental Health) | 14815 SE DIVISION ST PORTLAND, OR 97236 (971) 678-7302 |
| 1801084025 | SANDY JEAN MCGREGOR Individual | Counselor | 14815 SE DIVISION ST PORTLAND, OR 97236 (503) 761-7139 |
| 1790957439 | NABEEL M SWEILEM Individual | Counselor | 14815 SE DIVISION ST PORTLAND, OR 97236 (503) 761-7139 |
| 1366749236 | MR. CAYLE ADAIR ROBBINS CHRISTENSEN MSW Individual | Counselor (Professional) | 14815 SE DIVISION ST PORTLAND, OR 97236 (503) 595-2775 |
| 1376681114 | BRANDI ELISE LCSW Individual | Social Worker (Clinical) | 14815 SE DIVISION ST PORTLAND, OR 97236 (503) 595-2749 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346244902, enumerated in the NPI registry as an "organization" on June 10, 2005
The provider is located at 14815 Se Division St Portland, Or 97236 and the phone number is (503) 761-7139
This medical organization specializes in Clinic/Center with taxonomy code 261QM0855X with a focus in Adolescent and Children Mental Health
The provider's CLIA number is 38D2223074 for a "school/student health service" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 10, 2005. 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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