MR. SAND HOWARD CARLYLE (NPI# 1396758058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396758058 |
| Entity Type | Individual |
| Full Name | MR. SAND HOWARD CARLYLE |
| Credential | MASTER OF ARTS PSYCH |
| Practice Address |
19400 Nw Evergreen Pkwy Hillsboro OR 97124-7031 |
| Practice Telephone | 5036172319 |
| Mailing Telephone | 5036172319 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 5049 | OR | Behavioral Health & Social Service Providers |
| Street Address |
19400 NW EVERGREEN PKWY |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-7031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659339737 | Rebecca May Baird | Pediatrics | 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124-7031 | 2006-05-01 |
| 1619501350 | Forrest Kwong | Student in an Organized Health Care Education/Training Program | 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124-7031 | 2020-03-02 |
| 1245781319 | Kaiser Foundation Health Plan of The Northwest | General Practice | 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124-7031 | 2016-10-24 |
| 1396100459 | Megan Wilson | Nurse Practitioner | 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124 | 2015-12-16 |
| 1982040960 | Lisa A Leavitt | Internal Medicine | 19400 Nw Evergreen Pkwy, Suite 1, Hillsboro, OR 97124-7031 | 2013-05-16 |
| 1225350713 | Bonnie Ng | Pharmacist | 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124-7031 | 2010-02-24 |
| 1285874933 | Mary Calderon | Social Worker | 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124-7031 | 2009-02-20 |
| 1457505422 | Kaiser Foundation Health Plan of The Northwest | Clinical Medical Laboratory | 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124-7031 | 2008-11-04 |
| 1053569764 | Shelley Sobel | Social Worker | 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124-7031 | 2008-09-05 |
| 1053575241 | Danielle Lorraine Gessford | Dietitian, Registered | 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124-7031 | 2008-07-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669599189 | Thomas Joseph Delisle | Psychologist | 19 Pleasant St., Hillsboro, NH 03244-1262 | 2007-03-22 |
| 1548312887 | Marc Frederick Stuckey | Psychologist | 328 W Main Street, Suite A100, Hillsboro, OR 97123 | 2007-01-17 |
| 1144282567 | Carol E Menustik | Psychologist | 1322 Ne Orenco Station Pkwy, Ste 250, Hillsboro, OR 97124-5411 | 2006-04-03 |
| 1659981579 | Lisa Roberts Christiansen | Psychologist | 222 Se 8th Ave Ste 212, Hillsboro, OR 97123-4218 | 2020-08-05 |
| 1417325101 | Ryoka Kim | Psychologist | 18610 Nw Cornell Rd Ste 300, Hillsboro, OR 97124-9206 | 2015-09-11 |
| 1578949608 | Monica Froman-reid | Psychologist | 21210 Nw Mauzey Rd, Hillsboro, OR 97124-9327 | 2015-07-30 |
| 1679882419 | Minal Patel | Psychologist | 18650 Nw Cornell Rd, Suite 315, Hillsboro, OR 97124-9207 | 2010-09-28 |
| 1023335478 | John David Mcswigan | Psychologist | 971 Sw Walnut St, Hillsboro, OR 97123-5651 | 2010-04-26 |
| 1285839019 | Mind Matters PC | Psychologist | 18650 Nw Cornell Rd, Suite 315, Hillsboro, OR 97124-9207 | 2007-06-20 |
| 1528285525 | Daniel Scott Mckitrick | Psychologist | 222 Se 8th Ave, Spp,hpc,pacific University, Hillsboro, OR 97123-4218 | 2007-04-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.