Mark D Nordlund, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1434 Issued in OR

Practice address

6400 SE Lake Rd Ste 325
Milwaukie, OR 97222-2185

Phone

(503) 786-1711

Fax

(503) 786-9919

NPI assigned

Jul 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cornerstone Clinical Services PC

  • Community/Behavioral Health Agency
  • Milwaukie, OR
  • NPI 1093892895
  NPD
• Cornerstone Clinical Services, Inc

  dba Cornerstone

  • Community/Behavioral Health Agency
  • Lawton, OK
  • NPI 1184786238
  NPD

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609808724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SE LAKE RD STE 325",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222185",
            "telephone_number": "503-786-1711",
            "fax_number": "503-786-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 SE LAKE RD STE 325",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222185",
            "telephone_number": "503-786-1711",
            "fax_number": "503-786-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDLUND",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Joy Zaragoza Nolasco, DPT
• Jane G Nool, OTRL
• Balkhiis Hassan Noor
• Norco Inc
• Cynthia B Nordlund, PSY.D.
• North Clackamas School District
• North Lake Physical Therapy and Rehabilitation, Inc.
• Northwest ENT and Allergy Care Inc (Northwest ENT & Allergy Care, PC)
• Northwest ENT, Allergy and Sleep Associates, LLC
• Northwest Extremity Specialists LLC

• Psychologist in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.