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NATHAN HANTKE PH.D. NPI 1265883151


NPI Information

NPI: 1265883151
Provider Name: NATHAN HANTKE, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3303 SW BOND AVE STE 8
PORTLAND, OR
ZIP 97239
Phone: (503) 494-7772
Get Directions

Nathan Hantke, PH.D. is a clinical neuropsychologist in Portland, OR with 10 years of experience. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. Nathan Hantke, PH.D. NPI is 1265883151. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3303 SW BOND AVE STE 8
PORTLAND, OR
ZIP 97239
Phone: (503) 494-7772
Fax: (503) 418-3283

The NPI 1265883151 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Neuropsychological testing evaluation by qualified health care professional, first 60 minutes (HCPCS:96132)
  • Psychiatric diagnostic evaluation (HCPCS:90791)

The enumeration date for this NPI number is 6/22/2016 and was last updated on 12/27/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical Neuropsychologist28285CALIFORNIANo
2103G00000XClinical Neuropsychologist2970OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.