NPIMap

Organization Active NPI

Cascadia Behavioral Healthcare

  • Mental Illness Community Based Residential Treatment Facility
  • Portland, OR
National Provider Identifier
1073659744
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
CASCADIA BEHAVIORAL HEALTHCARE
Practice address
945 NE 165TH Ave
Portland, OR 97230-6148
Phone
(503) 408-8100
NPI assigned
Jan 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sharundah Michelle Robertson, VARIESNPI 1659418606
Title
Resident Councelor 1
Phone
(503) 788-3187

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

945 NE 165TH Ave
Portland, OR 97230-6148

Mailing address

2322 SE 89TH Ave
Portland, OR 97216-2016
Phone (503) 788-3187

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 37

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.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073659744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 SE 89TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162016",
            "telephone_number": "503-788-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 NE 165TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972306148",
            "telephone_number": "503-408-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADIA BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "SHARUNDAH",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "RESIDENT COUNCELOR 1",
        "authorized_official_telephone_number": "503-788-3187",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "VARIES"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "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 Aug 22, 2020; 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.