| Psychological Health Services, P.c. | |
|
10000 Se Main St Ste 148 Portland OR 97216-2462 | |
| (971) 678-3941 | |
| (503) 252-2720 |
| Full Name | Psychological Health Services, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 10000 Se Main St Ste 148, Portland, Oregon |
| Authorized Official Name and Position | Jonathan James Lundy (PSYCHOLOGIST) |
| Authorized Official Contact | 9716783941 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Health Services, P.c. Po Box 92004 Portland OR 97292-2004 Ph: (971) 678-3941 | Psychological Health Services, P.c. 10000 Se Main St Ste 148 Portland OR 97216-2462 Ph: (971) 678-3941 |
| NPI Number | 1205139854 |
|---|---|
| Provider Enumeration Date | 12/20/2010 |
| Last Update Date | 11/24/2013 |
| Medicare PECOS PAC ID | 5395934764 |
|---|---|
| Medicare Enrollment ID | O20110117000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205139854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 612 (Oregon) | Primary |
| Provider Name | Jonathan J Lundy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336215805 PECOS PAC ID: 6305996604 Enrollment ID: I20101203000692 |
| Provider Name | Sarah J Lundy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245481043 PECOS PAC ID: 9638393309 Enrollment ID: I20140619001394 |
Sandra M. Gonzalez Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Sw Morrison St, Suite 411, Portland, OR 97205 Phone: 503-228-0939 Fax: 503-226-8069 | |
Cascadia Behavioral Healthcare, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9125 Sw 55th Ave, Portland, OR 97219 Phone: 503-238-0769 Fax: 503-477-4598 | |
Edwards Psychotherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Sw Morrison St, Suite 1100, Portland, OR 97205 Phone: 503-222-0557 | |
Wellpath Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Se Milwaukie Ave Ste D, Portland, OR 97202 Phone: 503-784-2377 | |
Daniel C Donohue, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2931 Ne Broadway St, Portland, OR 97232 Phone: 503-819-2515 | |
Cultivating A New Life Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Se Spokane St Ste 300, Portland, OR 97202 Phone: 541-904-0468 | |
Tiffany Kettermann, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2926 Ne Flanders St Ste 3c, Portland, OR 97232 Phone: 971-270-0167 |