Kajmd LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

KAJMD LLC

Doing business as

Integrative Mind
Principle Mind

Practice address

5 Centerpointe Dr Ste 400
Lake Oswego, OR 97035-8661

Phone

(503) 606-6355

Fax

(581) 333-1291

NPI assigned

Jun 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Keith Johnson, MDNPI 1982023479

Title

Owner

Phone

(503) 606-6355

Specialties & licenses 1

Addresses

Other names 2

• Integrative Mind Doing business as
• Principle Mind Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Johnson, M.D.

  • Psychiatry Physician
  • Lake Oswego, OR
  • NPI 1982023479
  NPD Authorized official

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1114542735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CENTERPOINTE DR STE 400",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358661",
            "telephone_number": "503-606-6355",
            "fax_number": "581-333-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CENTERPOINTE DR STE 400",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358661",
            "telephone_number": "503-606-6355",
            "fax_number": "581-333-1291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 SE Spokane St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972026487",
            "country_code": "US",
            "telephone_number": "503-404-4555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAJMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-606-6355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.integrativemindpdx.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "205 SE Spokane St Ste 300",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972026487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Integrative Mind",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Principle Mind",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatry Physician in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.