Individual provider Active NPI

Rebeca Elisabet Catalan

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1023770542
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10029801 Issued in OR
Practice address
975 SE Sandy Blvd Ste 230
Portland, OR 97214-1399
Phone
(503) 379-1902
NPI assigned
Oct 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10029801 OR Primary

Addresses

Primary practice location

975 SE Sandy Blvd Ste 230
Portland, OR 97214-1399

Mailing address

975 SE Sandy Blvd Ste 230
Portland, OR 97214-1399
Phone (503) 439-9531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10029801ORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Mental Performance LLC Psychiatric/Mental Health PastSince Jul 21, 2024 Accepting new patients
Western Psychological and Counseling Services LLC PastSince Nov 1, 2024 Accepting new patients
Precision Mental Performance LLC Psychiatric/Mental Health Past Accepting new patients
Precision Mental Performance LLC Psychiatric/Mental Health Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1023770542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 SE SANDY BLVD STE 230",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141399",
            "telephone_number": "503-439-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 SE SANDY BLVD STE 230",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141399",
            "telephone_number": "503-379-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATALAN",
        "first_name": "REBECA",
        "middle_name": "ELISABET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10029801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.