JUDITH LYNN PULLIAM
NPI 1588211510
Clinic/Center - Adult Mental Health in Beaverton, OR
NPI Status: Active since August 23, 2019
Contact Information
4900 SW GRIFFITH DR STE 235
BEAVERTON, OR
ZIP 97005
Phone: (503) 520-9977
Fax: (503) 526-3912
- Organization
- Clinic/Center
- Adult Mental Health
About JUDITH LYNN PULLIAM
This page provides the complete NPI Profile along with additional information for Judith Lynn Pulliam, a provider established in Beaverton, Oregon operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1588211510 assigned on August 2019. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Judith L Pulliam Lcsw (Practitioner)
- NPI
- 1588211510
- Provider Name
- JUDITH LYNN PULLIAM
- Entity Type
- Organization
- Location Address
- 4900 SW GRIFFITH DR STE 235 BEAVERTON, OR 97005
- Location Phone
- (503) 520-9977
- Location Fax
- (503) 526-3912
- Mailing Address
- 4900 SW GRIFFITH DR STE 235 BEAVERTON, OR 97005
- Mailing Phone
- (503) 520-9977
- Mailing Fax
- (503) 526-3912
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-23-2019
- Last Update Date
- 10-09-2019
- 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 Adult Mental Health
- Taxonomy Code
- 261QM0850X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1730208729 | OTHER (01) | NPPES |
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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 | 5 | 8 | 8 | 2 | 1 | 1 | 5 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 16 | 8 | 4 | 1 | 2 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 6 + 8 + 4 + 1 + 2 + 5 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1588211510 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1912298092 | JULIE A. DICKS, PH.D., P.C. Organization | Community/Behavioral Health | 4900 SW GRIFFITH DR STE 235 BEAVERTON, OR 97005 (503) 805-9456 |
| 1851526024 | CATHERINE ANNE CUPP LPC Individual | Counselor (Professional) | 4900 SW GRIFFITH DR STE 235 BEAVERTON, OR 97005 (541) 377-9011 |
| 1063241222 | MR. FORREST WILLIAM ROSSER LMFT Individual | Marriage & Family Therapist | 4900 SW GRIFFITH DR STE 235 BEAVERTON, OR 97005 (971) 217-6475 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588211510, enumerated in the NPI registry as an "organization" on August 23, 2019
The provider is located at 4900 Sw Griffith Dr Ste 235 Beaverton, Or 97005 and the phone number is (503) 520-9977
This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health
The provider might be accepting Accepts: Medicare and Medicaid. 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 August 23, 2019. 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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