Individual provider Active NPI

Sabine Clara Meyer, M.D.

  • Geriatric Psychiatry Physician
  • Beaverton, OR
National Provider Identifier
1114907144
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
MD27133 Issued in OR
Practice address
12725 SW Millikan Way
Ste 300
Beaverton, OR 97005-1687
Phone
(503) 906-7970
Fax
(503) 334-0886
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0805X MD27133 OR Primary

Addresses

Primary practice location

12725 SW Millikan Way
Ste 300
Beaverton, OR 97005-1687

Mailing address

12725 SW Millikan Way Ste 300
Beaverton, OR 97005-1687
Phone (503) 906-7970

Other identifiers 2

IdentifierTypeStateIssuer
02196683MedicaidNY
271193MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070219000595 OR Practitioner - Psychiatry 9133108756 Reassigns benefits to 1 organization
Practice locations: Beaverton, OR

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12725 SW Millikan Way
Suite 300
Beaverton, OR 97005-1687
Phone 50390679701687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD27133ORMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tuality Medical Group LLC Single Specialty Current Accepting new patients
Tuality Healthcare Single Specialty Current Accepting new patients
Tuality Healthcare CurrentSince Aug 30, 2007 Accepting new patients
Tuality Healthcare CurrentSince Aug 30, 2007 Accepting new patients
Tuality Healthcare Single Specialty Current Accepting new patients
Senior Psychiatric Services Psychiatry PastSince Jun 7, 2016 Accepting new patients

Locations

1809 Maple St
Forest Grove, OR 97116
Phone (503) 357-2173

364 SE 8th Ave
Ste 301
Hillsboro, OR 97123
Phone (503) 681-4233

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1114907144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12725 SW MILLIKAN WAY STE 300",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051687",
            "telephone_number": "503-906-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 SW MILLIKAN WAY",
            "address_2": "STE 300",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051687",
            "telephone_number": "503-906-7970",
            "fax_number": "503-334-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "SABINE",
        "middle_name": "CLARA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "OR",
            "license": "MD27133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02196683",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271193",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.