SCOTT DESI SUDAISAR
NPI 1649955980
Prevention Professional in Sherwood, OR
NPI Status: Active since June 15, 2023
Contact Information
22350 SW PINE ST
SHERWOOD, OR
ZIP 97140
Phone: (503) 349-5828
- Individual
- Male
- Prevention Professional
About SCOTT SUDAISAR
This page provides the complete NPI Profile along with additional information for Scott Sudaisar, a provider established in Sherwood, Oregon with a medical specialization in Prevention Professional. The healthcare provider is registered in the NPI registry with number 1649955980 assigned on June 2023. The practitioner's primary taxonomy code is 405300000X with license number 083697 (OR). The provider is registered as an individual and his NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
- NPI
- 1649955980
- Provider Name
- SCOTT DESI SUDAISAR
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 22350 SW PINE ST SHERWOOD, OR 97140
- Location Phone
- (503) 349-5828
- Mailing Address
- PO BOX 1238 NEWBERG, OR 97132
- Mailing Phone
- (503) 349-5828
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-15-2023
- Last Update Date
- 06-15-2023
- Code Navigator
Location Map
Secondary Locations
- 62910 O B Riley Rd Ste 301-B
Bend, OR 97703
(503) 349-5828
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
Prevention Professional
- Taxonomy Code
- 405300000X
- Type
- Other Service Providers
- License No.
- 083697
- License State
- OR
- Taxonomy Description
- Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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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 | 6 | 4 | 9 | 9 | 5 | 5 | 9 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 18 | 5 | 10 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 1 + 8 + 5 + 1 + 0 + 9 + 1 + 6 + 24 = 80 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1649955980 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 provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790460038 | SUDAISAR POLYGRAPH & FORENSIC ASSESSMENTS, LLC Organization | Prevention Professional | 22350 SW PINE ST SHERWOOD, OR 97140 (503) 349-5828 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649955980, enumerated in the NPI registry as an "individual" on June 15, 2023
The provider is located at 22350 Sw Pine St Sherwood, Or 97140 and the phone number is (503) 349-5828
The provider's speciality is Prevention Professional with taxonomy code 405300000X
This NPI record was last updated on June 15, 2023. 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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