Individual provider Active NPI

Haley Gail Trontel, PH.D.

  • Psychologist
  • Portland, OR
National Provider Identifier
1538582903
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2509 Issued in OR
Practice address
6640 SW Redwood LN
Portland, OR 97224
Phone
(503) 620-7358
NPI assigned
Jan 21, 2014
Last updated
May 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 8833744-2501 UT
Psychologist 103T00000X 2509 OR Primary

Addresses

Primary practice location

6640 SW Redwood LN
Portland, OR 97224

Mailing address

800 SW 13TH Ave
Portland, OR 97205-1999
Phone (503) 221-0161

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150713000879 OR Practitioner - Clinical Psychologist 4587976063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Laura Renteria PCGroup PAC ID 0749569259, 3 clinicians

Practice addresses (Care Compare)

3800 SW Cedar Hills Blvd
Suite 120
Beaverton, OR 97005-4753
Phone (971) 330-7352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Professional Center Psychologist CurrentSince May 17, 2020 Accepting new patients
Dr. Laura Renteria, PC CurrentSince Jun 14, 2023 Accepting new patients

Locations

3800 SW Cedar Hills Blvd
Ste 120
Beaverton, OR 97005
Phone (971) 330-7352

3735 S River Pkwy
Portland, OR 97239
Phone (503) 972-7090

4207 SE Woodstock Blvd
Portland, OR 97206
Phone (503) 312-6005

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1538582903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SW 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051999",
            "telephone_number": "503-221-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 SW REDWOOD LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97224",
            "telephone_number": "503-620-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRONTEL",
        "first_name": "HALEY",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-21",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "8833744-2501",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "2509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.