Active NPI
Florence L Trentacosti, PSYD
- Psychologist
- Portland, OR
National Provider Identifier
1073533915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1406
- Practice address
- 1880 SW Huntington Ave
Portland, OR 97225-4754 - Phone
- (563) 641-6674
- Fax
- (503) 641-6674
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1406 | OR | Primary |
| Clinical Psychologist | 103TC0700X | 1406 | OR |
Addresses
Primary practice location
1880 SW Huntington Ave
Portland, OR 97225-4754
Mailing address
1880 SW Huntington Ave
Portland, OR 97225-4754
Phone (563) 641-6674
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116035 | Other | MANAGED HEALTH NETWORK | |
| 005440000 | Other | REGENCE BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100218000782 | OR | Practitioner - Clinical Psychologist | 6608910310 | Practice locations: Portland, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1880 SW Huntington Ave
Portland, OR 97225-4754
Phone (503) 641-6674
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1406 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1073533915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1880 SW HUNTINGTON AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972254754",
"telephone_number": "563-641-6674",
"fax_number": "503-641-6674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 SW HUNTINGTON AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972254754",
"telephone_number": "563-641-6674",
"fax_number": "503-641-6674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRENTACOSTI",
"first_name": "FLORENCE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "1406",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "1406",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "116035",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BCBS",
"identifier": "005440000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.