Kellee Purdy, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

4182 Issued in OR

Legal business name

KELLEE PURDY, LLC

Practice address

1832 NE Broadway St
Portland, OR 97232-1992

Phone

(971) 227-9277

NPI assigned

Mar 28, 2014

Organization subpart

No

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

Authorized official

Name

Kellee Purdy, LCSWNPI 1780847285

Title

Owner

Phone

(971) 227-9277

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kellee Purdy, LCSW

  • Clinical Social Worker
  • Juneau, AK
  • NPI 1780847285
  NPD (past) Authorized official

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1174941066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 SE 64TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972061373",
            "telephone_number": "971-227-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 NE BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321992",
            "telephone_number": "971-227-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEE PURDY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "PURDY",
        "authorized_official_first_name": "KELLEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-227-9277",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OR",
            "license": "4182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy C Kelchner, N.D.
• Kelemental Health, PLLC
• Ryan Henry Kell, MSW
• Katrina Kellar, ATC, OTC
• Olivia M. Kellar, LAC, MACOM, LMT
• Amy Kelleher, MD
• Kristen Cole Kellenberger
• Alan Louis Keller, MD
• David Allen Keller, MS, NCC
• Debra E Keller, COTA/L

• Adult Mental Health Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Adult Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.