Alec Norman Mendelson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

787 Issued in OR

Practice address

1550 NW Eastman Pkwy
Suite 280
Gresham, OR 97030-3858

Phone

(503) 665-4357

Fax

(503) 665-3260

NPI assigned

Nov 16, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Positive Impact Psychology & Consulting

  • Adult Mental Health Clinic/Center
  • Gresham, OR
  • NPI 1891496972
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1508848383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 NW EASTMAN PKWY",
            "address_2": "SUITE 280",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303858",
            "telephone_number": "503-665-4357",
            "fax_number": "503-665-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 NW EASTMAN PKWY",
            "address_2": "SUITE 280",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303858",
            "telephone_number": "503-665-4357",
            "fax_number": "503-665-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELSON",
        "first_name": "ALEC",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Mees, OT
• Ronald John Megyesi, D.C.
• Melody Moon Wellness LLC
• Erin Menczer, LPC, CADC 1
• Josef Mendelsohn
• Veronica Mendez Hernandez, BSDH,RDH,EPDH
• Joseph Arthur Mendez, PHD, MAC OM
• Thamara Mendez
• Brittney B Mensen, DO
• Kyla Merino

• Clinical Psychologist in Gresham, OR
• Providers in Gresham, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.