Active NPI
Rebeca Elisabet Catalan
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
National Provider Identifier
1023770542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 10029801
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10029801 | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Mental Performance LLC | Psychiatric/Mental Health | Past | Accepting new patients |
| Western Psychological and Counseling Services LLC | Past | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
- NPI 1316569502
-
- Psychiatric/Mental Health Nurse Practitioner
- Salem, OR
- NPI 1780166116
-
- Psychiatric/Mental Health Nurse Practitioner
- Bend, OR
- NPI 1881348647
-
- Clinical Psychologist
- Vancouver, WA
- NPI 1629345731
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.