DR. DARLENE STAFFELBACH PSY.D.
NPI 1508843343
Psychologist - Clinical in Tigard, OR

NPI Status: Active since December 22, 2005

Contact Information

6950 SW HAMPTON ST
SUITE 102
TIGARD, OR
ZIP 97223
Phone: (503) 684-5228

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

About DARLENE STAFFELBACH

This page provides the complete NPI Profile along with additional information for Darlene Staffelbach, 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 1508843343 assigned on December 2005. The practitioner's primary taxonomy code is 103TC0700X with license number 1352 (OR). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1508843343
Provider Name
DR. DARLENE STAFFELBACH PSY.D.
Gender
Female
Entity Type
Individual
Location Address
6950 SW HAMPTON ST SUITE 102 TIGARD, OR 97223
Location Phone
(503) 684-5228
Mailing Address
6950 SW HAMPTON ST SUITE 102 TIGARD, OR 97223
Mailing Phone
(503) 684-5228
Is Sole Proprietor?
Yes
Enumeration Date
12-22-2005
Last Update Date
07-08-2007
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A clinical psychologist like Darlene Staffelbach 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. Darlene Staffelbach opted out of Medicare effective on 11-30-2022 until 11-30-2026. 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

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.
1352
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:

  • 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.

Medicare Participation & PECOS Enrollment Status

Darlene Staffelbach 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: 11-30-2022

  • Opt-Out End Date: 11-30-2026

  • Eligible to Order and Refer? No

  • 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

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 97223 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $176.88
  • Minimum New Patient Price $58.99
  • Maximum New Patient Price $176.88
  • Average New Patient Copayment $44.22
  • Minimum New Patient Copayment $14.74
  • Maximum New Patient Copayment $44.22

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $103.51
  • Minimum Established Patient Price $19.32
  • Maximum Established Patient Price $144.79
  • Average Established Patient Copayment $25.87
  • Minimum Established Patient Copayment $4.83
  • Maximum Established Patient Copayment $36.19

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. DARLENE STAFFELBACH 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.
1508843343
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2508164638
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 6 + 4 + 6 + 3 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1508843343 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811913981MRS. JULIE LURA HOGEN PHHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)6950 SW HAMPTON ST STE 109
TIGARD, OR 97223
(503) 620-3200
1043307812DR. DANA L SOLEM MD
Individual
Psychiatry & Neurology (Psychiatry)6950 SW HAMPTON ST SUITE 222
TIGARD, OR 97223
(503) 430-7948
1225296684MS. DAWN JULAYNE KERNS LMT
Individual
Contractor6950 SW HAMPTON ST SUITE #103
TIGARD, OR 97223
(503) 839-6155
1205099306RIO COUNSELING, INC.
Organization
Clinic/Center (Adult Mental Health)6950 SW HAMPTON ST SUITE 319
PORTLAND, OR 97223
(503) 816-2443
1982841730MRS. DIANA KAY KILINSKI LPC
Individual
Counselor (Mental Health)6950 SW HAMPTON ST
PORTLAND, OR 97223
(503) 887-0289
1619272150 SUSAN KROME NEBEN MA, LPC, LMFT
Individual
Counselor (Mental Health)6950 SW HAMPTON ST SUITE 331
TIGARD, OR 97223
(503) 869-2263
1013296847DR. CHYRIL WALKER PH.D.
Individual
Psychologist (Clinical)6950 SW HAMPTON ST SUITE 319
TIGARD, OR 97223
(971) 313-2094
1699019802CHYRIL WALKER PHD PC
Organization
Psychologist (Clinical)6950 SW HAMPTON ST STE 319
TIGARD, OR 97223
(971) 313-2094
1932532611 CLARK CASWELL CADC II
Individual
Counselor (Addiction (Substance Use Disorder))6950 SW HAMPTON ST STE 109
TIGARD, OR 97223
(971) 255-1513
1063505063DR. DAVID WINDSTROM PSY D
Individual
Psychologist6950 SW HAMPTON ST STE. 218
TIGARD, OR 97223
(503) 972-8957
1710337407PILLARS OF HOPE COUNSELING, LLC
Organization
Community/Behavioral Health6950 SW HAMPTON ST SUITE 216
TIGARD, OR 97223
(503) 841-2142
1114901758DR. TERRY EUGENE BURRIS M.D.
Individual
Ophthalmology6950 SW HAMPTON ST SUITE 150
TIGARD, OR 97223
(503) 624-4814

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508843343, enumerated in the NPI registry as an "individual" on December 22, 2005

The provider is located at 6950 Sw Hampton St Suite 102 Tigard, Or 97223 and the phone number is (503) 684-5228

The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical

The provider might be accepting Accepts: PacificSource Health Plans and Regence BlueCross. 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).

Medicare beneficiaries should expect a typical cost of $176.88 with an average copayment of $44.22 for new patient appointments. Established patients should expect a typical charge of $103.51 and an average copayment of 25.87. Please review your insurance plan or contact the provider directly to determine your specific costs.

No, the provider signed an affidavit on November 30, 2022 to opt-out of the Medicare program. The provider is excluded from the Medicare program until November 30, 2026.

This NPI record was last updated on December 22, 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].
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.