SALLY J GILDEHAUS (PSYD) – Mental Health Counselor, NPI 1407381882
Mental Health Counselor
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
647 CLINICAL PSYCHOLOGIST in OR
Provider Addresses for SALLY J GILDEHAUS (PSYD)
20990 NW NOELLE WAY
HILLSBORO, OR 970062990
Phone: (406) 425-0174
Type: Mailing
222 SE 8th Ave Ste 212
Hillsboro, OR 971234218
Phone: (503) 352-7333
Type: Location
4040 S 188th St Ste 201
Seatac, WA 981885070
Phone: (206) 277-7200
Type: Location
1625 SE 192nd Ave Ste 100
Camas, WA 986076505
Phone: (360) 566-4840
Type: Location
212, Southeast 8th Avenue, Central Hillsboro, Hillsboro, Metro, Washington County, Oregon, 97123, United States
HILLSBORO, OR 971234218
Phone: (503) 352-7333
Type: Location
16180 SE SUNNYSIDE RD STE 102
HAPPY VALLEY, OR 970156302
Phone: (503) 582-4900
Type: Location
PO BOX 3158
PORTLAND, OR 972083158
Phone: (503) 215-6494
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-09-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221116000221 | I | Clinical Psychologist | OR | TBD |
| I20240917002268 | I | Psychologist Billing Independently | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | 31 | 15 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 12 | 12 | $0 |
Insurance plans in this area (ZIP 97006)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Neurology, Nephrology, Psychiatry | FL | |
| Cardiovascular Disease (Cardiology) | OR | |
| Physical Medicine And Rehabilitation | OR | |
| Internal Medicine | CA | |
| Neurology, Hospice/Palliative Care | WA | |
| - | OR | |
| - | OR | |
| General Surgery | OR | |
| - | OR | |
| Internal Medicine | WA |
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