Madelyn Josephine Spain, M.S.E.D.

Primary specialty

School CounselorTaxonomy code 101YS0200X

License

10365882 Issued in OR

Practice address

14815 SE Division St
Portland, OR 97236-2336

Phone

(503) 761-7139

NPI assigned

Feb 9, 2007

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Serendipity Center Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Portland, OR
  • NPI 1346244902
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750422085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 SE WASHINGTON ST",
            "address_2": "APT. 3",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143176",
            "telephone_number": "503-236-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14815 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972362336",
            "telephone_number": "503-761-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAIN",
        "first_name": "MADELYN",
        "middle_name": "JOSEPHINE",
        "name_prefix": "Ms.",
        "credential": "M.S.E.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "OR",
            "license": "10365882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Knell Spaeth, PT, DPT, IBCLC
• Christopher M Spafford, O.D.
• Amanda Spahan
• Katie Spahn
• Jessica L Spain, CADC I/QMHA-R
• Megan Spain
• Michael Spain
• Rebecca Spain, MD
• Tommie Spain
• Stephanie Spak, LPC, LMHC, CADC 1

• School Counselor in Portland, OR
• Providers in Portland, OR by specialty
• School Counselor 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.