Angela Cave

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

16-07-09 Issued in OR

Practice address

16420 SE Division St
Portland, OR 97236-1987

Phone

(503) 762-3130

NPI assigned

Aug 26, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Angela Cave Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1003283078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16420 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972361987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16420 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972361987",
            "telephone_number": "503-762-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVE",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "16-07-09",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "15-CRM-115",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCBO",
            "identifier": "16-07-09",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCBO",
            "identifier": "15-CRM-114",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "CAVE",
            "credential": "CRM, CADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Daniel Liam Cavanaugh
• Kristine Cavanaugh, LPC, CADC I
• Maria Moreno Cavanaugh, RN
• Megan M Cavanaugh, MD
• Sandra Cavazos, CRM/QMHA-R
• Katherine Ellen Cave
• Taylor Cave, MD
• Gina Marie Cavellini, L AC
• Kelly John Caverzagie, MD
• Julie Cavese, PSYD, LPC

• Health Service Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Health Service Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.