PRECISION MENTAL PERFORMANCE LLC (NPI# 1780166116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780166116 |
| Entity Type | Organization |
| Organization Name | PRECISION MENTAL PERFORMANCE LLC |
| Other Organization Name | NEUSTART PSYCHIATRY |
| Practice Address |
2110 Mission St Se Ste 305 Salem OR 97302-0038 |
| Practice Telephone | 5033791902 |
| Mailing Telephone | 5033791902 |
| Mailing Fax Number | 5033791964 |
| Enumeration Date | 2018-09-01 |
| Last Update Date | 2020-08-21 |
| Authorized Official Name | LAWRENCE K ROBBINS (OWNER) |
| Authorized Official Telephone | 3609986593 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500754977 | 05 |
| Other Name | Type Code |
|---|---|
| NeuStart Psychiatry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569502 | Precision Mental Performance LLC | Clinic/Center | 308 Nw 11th Ave Ste 201, Portland, OR 97209-2980 | 2020-05-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PRECISION MENTAL PERFORMANCE LLC | 189 Liberty St Ne, Salem, OR 97301 |
| Street Address |
2110 MISSION ST SE STE 305 |
| City | SALEM |
| State | OR |
| Zip Code | 97302-0038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902915770 | Erum S Khaleeq | Psychiatry & Neurology | 2110 Mission St Se Ste 305, Salem, OR 97302-0038 | 2006-08-29 |
| 1710549837 | Kristy Dees | Social Worker | 2110 Mission St Se Ste 305, Salem, OR 97302-0038 | 2019-06-28 |
| 1346803970 | Heather L Chase | Counselor | 2110 Mission St Se Ste 305, Salem, OR 97302-0038 | 2019-04-18 |
| 1093272759 | Taylor Ballew | Nurse Practitioner | 2110 Mission St Se Ste 305, Salem, OR 97302-0038 | 2019-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696667 | Just for You Counseling | Clinic/Center | 130 Main St Ste 201d, Salem, NH 03079-3173 | 2020-10-14 |
| 1700164878 | Act II Psychology, Inc. | Clinic/Center | 189 Liberty St., Se, Suite 210a, The Reed Opera House, Salem, OR 97301 | 2011-07-23 |
| 1295775799 | Children's Friend and Family Services | Clinic/Center | 110 Boston Street, Salem, MA 01970-4127 | 2006-06-07 |
| 1124625561 | Christian Fauerso | Clinic/Center | 2493 State St, Salem, OR 97301-4543 | 2020-10-08 |
| 1982135265 | Life Tree Pllc | Clinic/Center | 251 W State Road 198 Ste 3, Salem, UT 84653-5608 | 2017-03-27 |
| 1821549544 | Justice Resource Institute, Inc. | Clinic/Center | 110 Boston St, Salem, MA 01970-1402 | 2016-10-18 |
| 1891157723 | Live More Life Everyday Inc | Clinic/Center | 204 Lafayette St, Salem, MA 01970-4721 | 2016-03-21 |
| 1508141185 | Susan Bamford | Clinic/Center | 1845 Commercial St Se, Salem, OR 97302-5203 | 2011-10-14 |
| 1326288754 | North Shore Medical Center Opmh | Clinic/Center | 172 Lafayette St, Salem, MA 01970-4815 | 2009-02-25 |
| 1427269190 | True North PC Therapeutic Options for Mental Health | Clinic/Center | 2695 12th Pl Se, Salem, OR 97302-2537 | 2007-05-24 |
| Find all providers in SALEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.