Organization Active NPI

Psychiatric Care PC

  • Child & Adolescent Psychiatry Physician
  • Portland, OR
National Provider Identifier
1063468692
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD13388 Issued in OR
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

Updated by the provider on Nov 4, 2011

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)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
269126MedicaidOR

Other names 1

  • Kathryn Flegel, MD Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.