GERIATRIC PSYCHIATRY ASSOCIATES


Address: 123 Nw 12th Ave Apt 424, Portland, OR 97209-4145
Phone: 5033673572

GERIATRIC PSYCHIATRY ASSOCIATES (NPI# 1881188084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881188084
Entity Type Organization
Organization Name GERIATRIC PSYCHIATRY ASSOCIATES
Practice Address 123 Nw 12th Ave Apt 424
Portland
OR 97209-4145
Mailing Address 17815 Sw Chaparral Dr
Powell Butte
OR 97753-0456
Practice Telephone 5033673572
Mailing Telephone 5032124243
Mailing Fax Number 8332183122
Enumeration Date 2018-06-20
Last Update Date 2019-08-23
Authorized Official Name KARA NOEL WILCOX (MEDICAL PROVIDER)
Authorized Official Telephone 5032124243
Authorized Official Credential PA-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
MD171702 Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
17815 Sw Chaparral Dr, Powell Butte, OR 977530456 5032124243 8332183122

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1225250657 Geriatric Psychiatry Associates Psychiatry & Neurology 12700 Hillcrest Rd, Suite 260, Dallas, TX 75230-2033 2007-05-03

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names GERIATRIC PSYCHIATRY ASSOCIATES, LLC 123 Nw 12th Ave #424, Portland, OR 97209

Office Location

Street Address 123 NW 12TH AVE APT 424
City PORTLAND
State OR
Zip Code 97209-4145

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508476250 Harrington Health Clinic Nurse Practitioner 310 Nw Glisan Street, Portland, OR 97209 2020-08-07
1619599636 Rivers Way Training Clinic Community/Behavioral Health 2049 Nw Hoyt, Portland, OR 97209 2020-05-13
1518590538 Julie Kay Igarta Registered Nurse 140 Northwest 14th Avenue, Portland, OR 97209 2020-02-18
1407492002 Oregon Injection Clinic Clinic/Center 1500 Nw Lovejoy, 106, Portland, OR 97209 2019-11-19
1487202883 Ann Tesora Massage Therapist 1320 Northwest 20th Avenue, Portland, OR 97209 2019-08-28
1972160455 Vincent Martin Massage Therapist 210 Sw 17th Avenue, Portland, OR 97209 2019-05-21
1154896546 Jennifer Marie Dodd Social Worker 1722 Nw Raleigh St Spc 412, Portland, OR 97209 2018-10-11
1922551910 Ashley Crowell Physician Assistant 949 Nw Overton St Unit 306, Portland, OR 97209 2016-07-26
1326408394 Jennifer Blain Counselor 324 Nw Davis, Portland, OR 97209 2016-03-03
1275993255 Lauren Dodson Licensed Practical Nurse 324 Nw Davis St, Portland, OR 97209 2016-03-03
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447878947 Celia Mantovani Psychiatry & Neurology 15 Cypress St, Portland, ME 04103-2008 2020-07-10
1538782834 Endeavor Psychiatry LLC Psychiatry & Neurology Sw, Portland, OR 97219-5885 2020-05-20
1154942142 Prisma Wellness LLC Psychiatry & Neurology 10260 Sw Greenburg Rd Fl 4, Portland, OR 97223-5500 2020-04-30
1588291082 Alexis Family Psychiatry, LLC Psychiatry & Neurology 415 Congress St Ste 202a, Portland, ME 04101-3500 2020-03-24
1982104063 Carl Chi Psychiatry & Neurology 22 Goodrich Ln, Portland, CT 06480-1063 2018-02-15
1154839108 Cascade Tms LLC Psychiatry & Neurology 205 Se Spokane St Ste 301, Portland, OR 97202-6487 2018-01-11
1538601737 Diana S Domnitei Md LLC Psychiatry & Neurology 1012 Sw King Ave Ste 306, Portland, OR 97205-1110 2016-11-06
1104286269 Anne Fleming, Md, LLC Psychiatry & Neurology 2340 Nw Thurman St Ste 202, Portland, OR 97210-2579 2016-03-02
1417338708 Andrew Justin Ruege Psychiatry & Neurology 5421 Sw Patton Rd, Portland, OR 97221-2226 2015-06-12
1538588637 Laura Poellet Psychiatry & Neurology 4805 Ne Glisan St # 5l, Portland, OR 97213 2014-04-16
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 97209

Improve Information

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Dataset Information

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.

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