Mentor Professional Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0947 Issued in OR

Legal business name

MENTOR PROFESSIONAL CORPORATION

Practice address

818 NW 17TH Ave # 11
Portland, OR 97209-2327

Phone

(503) 227-2027

Fax

(503) 227-3836

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michaele P. Dunlap, PSY.D.NPI 1932326584

Title

President

Phone

(503) 227-2027

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michaele Dunlap, PSY.D.

  • Clinical Psychologist
  • Portland, OR
  • NPI 1932326584
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881813004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 NW 17TH AVE # 11",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092327",
            "telephone_number": "503-227-2027",
            "fax_number": "503-227-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 NW 17TH AVE # 11",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092327",
            "telephone_number": "503-227-2027",
            "fax_number": "503-227-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTOR PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "MICHAELE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-227-2027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "0947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mens Resource Center (Men's Resource Center/Women's Counseling Center)
• Mensch Therapy
• Mental Health & Addiction Therapy, LLC
• Mental Health Association of Oregon (The Peer Company)
• Mentor Abi (Oregon Orchid)
• Lauren Meny, QMHP
• Jamie Menzel, MSCN, CNS, CN, LD
• Chloe Ann Meola, CADC 2
• Csaba Mera, M.D.
• Angelica Nalani Cortez Mercado

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.