CONNIE ELDRIDGE-PEDERSON, PHD, PC
NPI 1740420603
Community/Behavioral Health in Portland, OR
NPI Status: Active since March 04, 2009
Contact Information
1611 NE 16TH AVE
PORTLAND, OR
ZIP 97232
Phone: (503) 287-4426
Fax: (503) 284-6051
- Organization
- Community/Behavioral Health
About CONNIE ELDRIDGE-PEDERSON, PHD, PC
This page provides the complete NPI Profile along with additional information for Connie Eldridge-pederson, Phd, Pc, a provider established in Portland, Oregon operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1740420603 assigned on March 2009. The practitioner's primary taxonomy code is 251S00000X with license number 1070 (OR). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Dr. Connie Eldridge-pederson Phd (President)
- NPI
- 1740420603
- Provider Name
- CONNIE ELDRIDGE-PEDERSON, PHD, PC
- Entity Type
- Organization
- Location Address
- 1611 NE 16TH AVE PORTLAND, OR 97232
- Location Phone
- (503) 287-4426
- Location Fax
- (503) 284-6051
- Mailing Address
- 1611 NE 16TH AVE PORTLAND, OR 97232
- Mailing Phone
- (503) 287-4426
- Mailing Fax
- (503) 284-6051
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-04-2009
- Last Update Date
- 03-17-2009
- 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
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- 1070
- License State
- OR
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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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 | 7 | 4 | 0 | 4 | 2 | 0 | 6 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 8 | 0 | 8 | 2 | 0 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 8 + 0 + 8 + 2 + 0 + 6 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1740420603 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 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1801009865 | MS. SUE ELLEN COLLINS-LARSON M.A., LPC Individual | Counselor (Mental Health) | 1611 NE 16TH AVE PORTLAND, OR 97232 (503) 789-3666 |
| 1073746079 | MR. NICHOLAS VALENTINE DEXTER MA, LPC Individual | Counselor (Mental Health) | 1611 NE 16TH AVE PORTLAND, OR 97232 (503) 528-0150 |
| 1043677198 | ANJULI SHAH-JOHNSON Organization | Clinic/Center (Adolescent and Children Mental Health) | 1611 NE 16TH AVE PORTLAND, OR 97232 (773) 991-0103 |
| 1457408189 | MS. PATRICIA ELIZABETH ZSCHAU L.AC. Individual | Acupuncturist | 1611 NE 16TH AVE PORTLAND, OR 97232 (503) 753-3503 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740420603, enumerated in the NPI registry as an "organization" on March 04, 2009
The provider is located at 1611 Ne 16th Ave Portland, Or 97232 and the phone number is (503) 287-4426
This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X
This NPI record was last updated on March 04, 2009. 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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