Mandala Mental and Behavioral Health, LLC
NPI 1104333103 · Professional Counselor · Portland, OR
Mandala Mental and Behavioral Health, LLC is a Professional Counselor organization in Portland, OR (NPI 1104333103).
Provider details
- NPI number
- 1104333103
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Daniel Gilbride, Director(503) 367-3630
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 511 Sw 10th Ave Ste 601Portland, OR 97205-2707Phone: (503) 367-3630Fax: (503) 224-3126
- 650 Ne Holladay St Ste 16001614Portland, OR 97232-2045Phone: (503) 367-3630Fax: (503) 224-3126
Registry dates
- Enumerated
- 2017-12-29
- Last updated
- 2018-06-16
Frequently asked questions
- What is Mandala Mental and Behavioral Health, LLC's NPI number?
- Mandala Mental and Behavioral Health, LLC's National Provider Identifier (NPI) is 1104333103, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mandala Mental and Behavioral Health, LLC?
- Mandala Mental and Behavioral Health, LLC is classified in the NPPES registry as Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Mandala Mental and Behavioral Health, LLC located?
- Mandala Mental and Behavioral Health, LLC's practice location on file with NPPES is 650 Ne Holladay St Ste 16001614, Portland, OR 97232-2045.
- What is Mandala Mental and Behavioral Health, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mandala Mental and Behavioral Health, LLC is (503) 367-3630.
- Who is the authorized official for Mandala Mental and Behavioral Health, LLC?
- The authorized official listed on Mandala Mental and Behavioral Health, LLC's NPPES record is Daniel Gilbride, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mandala Mental and Behavioral Health, LLC's NPI active?
- Yes — Mandala Mental and Behavioral Health, LLC's NPI (1104333103) is active in the NPPES registry as of the last update on 2018-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.