Organization Active NPI

Germane & Wise Mental Health Services Consulting LLC

  • Psychiatry Physician
  • Corvallis, OR
National Provider Identifier
1154957728
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
GERMANE & WISE MENTAL HEALTH SERVICES CONSULTING LLC
Practice address
2727 NW 9TH St
Corvallis, OR 97330-3857
Phone
(503) 269-3610
NPI assigned
Mar 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Authorized official

Name
Caroline Fisher, MD PHDNPI 1386612760
Title
Principal
Phone
(774) 261-0801

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
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2727 NW 9TH St
Corvallis, OR 97330-3857

Mailing address

2727 NW 9TH St
Corvallis, OR 97330-3857
Phone (503) 269-3610

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.germanewise.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200528001907 OR Part B Supplier - Clinic/Group Practice 7113348269 Receives reassigned benefits from 1 practitioner
Practice locations: Albany, OR

National Provider Directory

National Provider Directory

Locations

321 1st Ave NE
Ste 3C
Albany, OR 97321
Phone (503) 269-3610

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1154957728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 NW 9TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303857",
            "telephone_number": "503-269-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 NW 9TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303857",
            "telephone_number": "503-269-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMANE & WISE MENTAL HEALTH SERVICES CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "774-261-0801",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.germanewise.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2727 NW 9th St",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.