Active NPI
Psychiatric Care PC
- Child & Adolescent Psychiatry Physician
- Portland, OR
National Provider Identifier
1063468692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD13388
- Legal business name
- PSYCHIATRIC CARE PC
- Practice address
- 2250 NW Flanders St
Suite 103
Portland, OR 97210-3443 - Phone
- (503) 222-1524
- Fax
- (503) 224-1880
- NPI assigned
- May 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kathryn Flegel, MD
- Title
- Owner
- Phone
- (503) 222-1524
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD13388 | OR | Primary |
Addresses
Primary practice location
2250 NW Flanders St
Suite 103
Portland, OR 97210-3443
Mailing address
3439 NE Sandy Blvd
PMB 375
Portland, OR 97232-1959
Phone (503) 284-8841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269126 | Medicaid | OR |
Other names 1
- Kathryn Flegel, MD
National Provider Directory
National Provider DirectoryLocations
2250 NW Flanders St
Ste 103
Portland, OR 97210
Phone (503) 222-1524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320364800000",
"number": "1063468692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3439 NE SANDY BLVD",
"address_2": "PMB 375",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321959",
"telephone_number": "503-284-8841",
"fax_number": "503-282-3302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 NW FLANDERS ST",
"address_2": "SUITE 103",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103443",
"telephone_number": "503-222-1524",
"fax_number": "503-224-1880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHIATRIC CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-25",
"last_updated": "2011-11-04",
"status": "A",
"authorized_official_last_name": "FLEGEL",
"authorized_official_first_name": "KATHRYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-222-1524",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OR",
"license": "MD13388",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269126",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kathryn Flegel, MD",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.