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Deactivated NPI 1588614119 Deactivated / Inactive NPI Male Practitioner

Gary Winfred Mac Kendrick , LPC LMFT NCC

Psychologist • Forest Grove, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Gary Mac Kendrick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 12, 2006
NPI Deactivation Date September 10, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Gary Mac Kendrick, LPC LMFT NCC was a registered Psychologist practicing in Forest Grove, OR. Throughout an active medical career spanning 15 years, Gary Mac Kendrick provided care at the practice location at 1904 ELM STREET until profile deactivation on 2021-09-10.

Practice Location & Contact Primary Location

Practice Address

1904 Elm Street
Suites 2&3

Forest Grove, OR 97116

Telephone 5033107704
Fax 5033570437

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Forest Grove, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Forest Grove, OR (780 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License OR LMFTT0191

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 10, 2021

Record deactivated on September 10, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1904 ELM STREET, SUITES 2&3, FOREST GROVE, OR 97116 (Tel: 5033107704)

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Updated Business Mailing Address July 08, 2007

Registered at 965 LIBERTY STREET SE, 1904 ELM STREET SUITES 2&3 FOREST GROVE, SALEM, OR 97302 (Tel: 5035882004)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GARY MAC KENDRICK, LPC LMFT NCC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #LMFTT0191 in OR)

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Initial NPI Registration & Enumeration May 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588614119
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2006
Last Update: July 08, 2007
Deactivation Date: September 10, 2021

Mailing Address

965 Liberty Street Se, 1904 Elm Street Suites 2&3 Forest Grove

Salem, OR 97302

Phone: 5035882004

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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