DR. JONATHAN JAMES LUNDY (NPI# 1336215805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336215805 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN JAMES LUNDY |
| Credential | PHD |
| Practice Address |
10000 Se Main St Ste 215 Portland OR 97216-2442 |
| Practice Telephone | 5032529690 |
| Practice Fax Number | 5032522720 |
| Mailing Telephone | 5032529690 |
| Mailing Fax Number | 5032522720 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 612 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346578986 | Jonathan F Lundy | Psychologist | 3300 Providence Dr, Suite B314, Anchorage, AK 99508-4690 | 2009-11-19 |
| 1841344678 | Jonathan Bergendahl Lundy | Surgery | 3698 Chambers Pass, Fort Sam Houston, TX 78234-7766 | 2007-01-22 |
| Street Address |
10000 SE MAIN ST STE 215 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-2442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729798 | Charles L Colip | Specialist | 10000 Se Main St, Ste 203, Portland, OR 97216-2442 | 2005-06-10 |
| 1538603733 | Patrick Schrank | Physician Assistant | 10000 Se Main St, Suite 224, Portland, OR 97216-2448 | 2016-12-07 |
| 1912303504 | Alexis Marie Bonfiglio | Physician Assistant | 10000 Se Main St, Suite 116, Portland, OR 97216-2448 | 2014-11-10 |
| 1790188258 | Bret Gene Ball LLC | Specialist | 10000 Se Main St, 318, Portland, OR 97216-2448 | 2014-09-29 |
| 1396177937 | Bridgetown Medical Group P.C. | Obstetrics & Gynecology | 10000 Se Main St, Suite 212, Portland, OR 97216 | 2013-08-06 |
| 1083967020 | Won Bahng Hwee | Physician Assistant | 10000 Se Main St, Suite 342, Portland, OR 97216-2448 | 2012-10-15 |
| 1134495567 | Aaron Benjamin Case | Emergency Medicine | 10000 Se Main St, Adventist Medical Center, Portland, OR 97216-2448 | 2012-03-29 |
| 1417232869 | Sherrie Kaye Evenson | Clinical Exercise Physiologist | 10000 Se Main St, Suite 55, Portland, OR 97216-2448 | 2011-10-17 |
| 1265768774 | Jmsp LLC | Pharmacy | 10000 Se Main St, Ste 118, Portland, OR 97216-2448 | 2009-10-19 |
| 1114179116 | Mallory Marie Mcnicholas Dotson | Physician Assistant | 10000 Se Main St, Suite 112, Portland, OR 97216-2448 | 2008-10-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1811518434 | Nathaniel Israel | Psychologist | 7419 Se Woodstock Blvd, Portland, OR 97206-5838 | 2020-05-05 |
| 1477112480 | Stella Beatriz Kerl-mcclain | Psychologist | 2826 Sw Ridge Dr, Portland, OR 97219-6205 | 2019-06-12 |
| 1184281438 | Nicholas Alexander Schollars | Psychologist | 3050 Se Division St # 215, Portland, OR 97202-1451 | 2019-05-22 |
| 1639637432 | Bayside Psychology and Consulting, LLC | Psychologist | 1 Union St Ste 402, Portland, ME 04101-4048 | 2019-03-11 |
| 1942766985 | Alexandra R. Lash | Psychologist | 386 Fore St, Portland, ME 04101-4047 | 2019-02-14 |
| 1811416068 | Matthew Lundeberg | Psychologist | 10300 Sw Greenburg Rd Ste 271, Portland, OR 97223-5415 | 2017-09-19 |
| 1083130991 | Tawayne Nolen Malone Jr. | Psychologist | 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 | 2017-08-22 |
| 1093241838 | Dr Patricia Clark | Psychologist | 1132 Sw 19th Ave, Portland, OR 97205-1740 | 2017-05-11 |
| 1639527575 | Randall David Wright | Psychologist | 1827 Ne 44th Ave Ste 320, Portland, OR 97213-1443 | 2016-06-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.