Mah Psychiatric Services Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MAH PSYCHIATRIC SERVICES INC

Practice address

4800 SW Griffith Dr Ste 104
Beaverton, OR 97005-8700

Phone

(971) 727-8154

Fax

(971) 246-5094

NPI assigned

Jul 3, 2019

Organization subpart

No

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

Authorized official

Name

Michelle Amber Hardenbrook, NURSE PRACTITIONERNPI 1851603476

Title

Pmhnp-BC

Phone

(971) 727-8154

Specialties & licenses 1

Addresses

Other names 1

• Kids, Inc. Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Michelle Hardenbrook, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaverton, OR
  • NPI 1851603476

  Single Specialty, WA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1124680699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 SW GRIFFITH DR STE 104",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970058700",
            "telephone_number": "971-727-8154",
            "fax_number": "971-246-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SW GRIFFITH DR STE 104",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970058700",
            "telephone_number": "971-727-8154",
            "fax_number": "971-246-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAH PSYCHIATRIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "HARDENBROOK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "AMBER",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "971-727-8154",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://provider.kareo.com/michelle-hardenbrook",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4800 SW Griffith Dr Ste 104",
            "city": "Beaverton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970058700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kids, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kids, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Magee, LMT
• Casey Ryan Magis-Agosta, CPNP-PC, APRN, MSN
• Jennifer Lee Magneson, MS
• Alexander Magnifique, LMT
• Magnolia Family Dentistry, LLC
• Kenneth K.S. Mah, D.P.M.
• Maile D Mahelona, LAC
• Samira Farag Hawash Mahmoud, BCABA
• Camelia Mahmoudian, MD
• Elise J Mahoney, FNP, PMHNP-BC

• Psychiatric/Mental Health Nurse Practitioner in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.