OMAR GANDARILLA
NPI 1427455534
Psychologist - Clinical Child & Adolescent in Portland, OR

NPI Status: Active since December 04, 2014

Contact Information

17214 SE DIVISION ST
PORTLAND, OR
ZIP 97236
Phone: (503) 761-5272
Fax: (503) 762-6250

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  • Individual
  • Male
  • Psychologist
  • Clinical Child & Adolescent

About OMAR GANDARILLA

This page provides the complete NPI Profile along with additional information for Omar Gandarilla, a provider established in Portland, Oregon with a medical specialization in Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1427455534 assigned on December 2014. The practitioner's primary taxonomy code is 103TC2200X. The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1427455534
Provider Name
OMAR GANDARILLA
Gender
Male
Entity Type
Individual
Location Address
17214 SE DIVISION ST PORTLAND, OR 97236
Location Phone
(503) 761-5272
Location Fax
(503) 762-6250
Mailing Address
14600 NW CORNELL RD PORTLAND, OR 97229
Is Sole Proprietor?
No
Enumeration Date
12-04-2014
Last Update Date
12-04-2014
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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 Child & Adolescent

Taxonomy Code
103TC2200X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

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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.
1427455534
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447851056
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 8 + 5 + 1 + 0 + 5 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1427455534 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 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720220510 EMILY RITTER
Individual
Counselor (Mental Health)17214 SE DIVISION ST
PORTLAND, OR 97236
(503) 761-5272
1407167307 CAREY COGSWELL MSW
Individual
Social Worker17214 SE DIVISION ST
PORTLAND, OR 97236
(503) 761-5272
1407147739 KRISTINA DENISE STUART MA
Individual
Counselor (Mental Health)17214 SE DIVISION ST
PORTLAND, OR 97236
(503) 761-5272
1083902787 LINDSAY COONS
Individual
Counselor (Addiction (Substance Use Disorder))17214 SE DIVISION ST
PORTLAND, OR 97236
(503) 761-5272
1023383833MRS. MELISSA SUE BISHOP CADC I
Individual
Counselor (Addiction (Substance Use Disorder))17214 SE DIVISION ST
PORTLAND, OR 97236
(503) 761-5272
1730448846 ANNMARIE WILSON
Individual
Case Manager/Care Coordinator17214 SE DIVISION ST SUITE 2
PORTLAND, OR 97236
(503) 761-5272
1265837603 MOIRA HOLAS
Individual
Counselor (Addiction (Substance Use Disorder))17214 SE DIVISION ST
PORTLAND, OR 97236
(503) 761-5272
1437543188MS. ANDREA ROSE ARAGON I MS. LPCI
Individual
Counselor (Mental Health)17214 SE DIVISION ST
PORTLAND, OR 97236
(503) 761-5272
1174901151MISS ROBIN MILLER
Individual
Case Manager/Care Coordinator17214 SE DIVISION ST
PORTLAND, OR 97236
(503) 761-5272
1922389311 PHIL MUIR
Individual
Counselor (Addiction (Substance Use Disorder))17214 SE DIVISION ST SUITE 2
PORTLAND, OR 97236
(503) 761-5272
1609257500 SARAH DEVINE
Individual
Counselor (Mental Health)17214 SE DIVISION ST
PORTLAND, OR 97236
(503) 761-5272
1477923126 KARI KRIEDBERG
Individual
Social Worker17214 SE DIVISION ST
PORTLAND, OR 97236
(503) 761-5272
1699135517 TYESHA MAECOLE MCCOOL-RILEY MASTERS DEGREE
Individual
Counselor (Mental Health)17214 SE DIVISION ST
PORTLAND, OR 97236
(503) 761-5272
1760923791 IGWE WATERS
Individual
Counselor (Addiction (Substance Use Disorder))17214 SE DIVISION ST
PORTLAND, OR 97236
(503) 761-5272
1629492079 NORA OLSGAARD-WHEELER LCSW
Individual
Social Worker (Clinical)17214 SE DIVISION ST
PORTLAND, OR 97236
(503) 761-5272
1043682529 REBECCA REISS LMHC, LPC
Individual
Counselor (Mental Health)17214 SE DIVISION ST
PORTLAND, OR 97236
(503) 761-5272

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427455534, enumerated in the NPI registry as an "individual" on December 04, 2014

The provider is located at 17214 Se Division St Portland, Or 97236 and the phone number is (503) 761-5272

The provider's speciality is Psychologist with taxonomy code 103TC2200X with a focus in Clinical Child & Adolescent

This NPI record was last updated on December 04, 2014. 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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