SALLY J GILDEHAUS (PSYD) – Mental Health Counselor, NPI 1407381882

SALLY J GILDEHAUS (PSYD) is a healthcare provider. based in Hillsboro, Oregon. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. MC61175782 (WA). The NPI Number for SALLY J GILDEHAUS (PSYD) is 1407381882

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SALLY J GILDEHAUS (PSYD)
NPI
1407381882
Phone
(406) 425-0174
Address
20990 NW NOELLE WAY
Enumeration Date
24 April 2017
Last Update Date
4 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3605664840
Graduation Year
2021 (5 years ago)
PAC ID
5597133991
Group Practice PAC ID
0446295711
Professional Enrollment ID
I20240917002268
Address ID
WA986077441CA1625XAVEX401
Telehealth
Yes

Contacts

Secure Messaging
medicalrecords.healthpoint.p3@direct.hpc.nextgenshare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:9State licenses:3Other namesUpdated within 12 months

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221116000221IClinical PsychologistORTBD
I20240917002268IPsychologist Billing IndependentlyWATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes3115$0
90791Psychiatric diagnostic evaluation1212$0
View full utilization report →

Insurance plans in this area (ZIP 97006)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446295711View full group profile
NameSpecialtyState
Neurology, Nephrology, PsychiatryFL
Cardiovascular Disease (Cardiology)OR
Physical Medicine And RehabilitationOR
Internal MedicineCA
Neurology, Hospice/Palliative CareWA
-OR
-OR
General SurgeryOR
-OR
Internal MedicineWA

Reviews

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Frequently asked questions

Can I cross-check SALLY J GILDEHAUS (PSYD) using NPI 1407381882?
NPI 1407381882 belongs to SALLY J GILDEHAUS (PSYD); compare other details if you need extra assurance.
Active or inactive — what applies to SALLY J GILDEHAUS (PSYD)?
You should see SALLY J GILDEHAUS (PSYD) as active in CMS-hosted NPPES data.
How would a patient describe SALLY J GILDEHAUS (PSYD)'s focus?
For SALLY J GILDEHAUS (PSYD), the primary taxonomy reads as Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is SALLY J GILDEHAUS (PSYD) located near Hillsboro?
SALLY J GILDEHAUS (PSYD) currently maps to Hillsboro, Oregon in this extract.
What does 7 location(s) imply?
7 practice locations appear in the available data.

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