Wanderlust Psychiatry

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WANDERLUST PSYCHIATRY

Practice address

5331 S Macadam Ave Ste 258-1159
Portland, OR 97239-6104

Phone

(503) 966-3135

Fax

(503) 300-4645

NPI assigned

Jun 17, 2025

Organization subpart

No

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

Authorized official

Name

Carli Sawyer Vandenhouten, PMHNPNPI 1710701156

Title

Owner / Pmhnp

Phone

(503) 516-3977

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carli Sawyer Vandenhouten, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gresham, OR
  • NPI 1710701156
  NPD Authorized official

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1043106610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 S MACADAM AVE STE 258-1159",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972396104",
            "telephone_number": "503-966-3135",
            "fax_number": "503-300-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 S MACADAM AVE STE 258-1159",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972396104",
            "telephone_number": "503-966-3135",
            "fax_number": "503-300-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDERLUST PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "VANDENHOUTEN",
        "authorized_official_first_name": "CARLI",
        "authorized_official_middle_name": "SAWYER",
        "authorized_official_title_or_position": "OWNER / PMHNP",
        "authorized_official_telephone_number": "503-516-3977",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ajay Wanchu, MD
• Hans Guenter Wandel, MD
• Nicole Renee Wandell
• Wandering Heart Healing Arts LLC
• Wandering Stone Acupuncture LLC
• Cheryl Wandling, RPH
• John Wandschneider
• Michelle Waneka, LAC
• Alice Wang-Chesebro, M.D.
• Amy Wang, MD

• Psychiatric/Mental Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.