Organization Active NPI

Family Institute, P.C.

  • Mental Health Counselor
  • Forest Grove, OR
National Provider Identifier
1225244304
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FAMILY INSTITUTE, P.C.
Practice address
4110 Pacific Ave
Suite 202
Forest Grove, OR 97116-2266
Phone
(503) 357-9548
Fax
(503) 357-1158
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Davidson, LMFTNPI 1326139965
Title
Director
Phone
(503) 357-9548

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4110 Pacific Ave
Suite 202
Forest Grove, OR 97116-2266

Mailing address

4110 Pacific Ave
Suite 202
Forest Grove, OR 97116-2266
Phone (503) 357-9548

National Provider Directory

National Provider Directory

Locations

4110 Pacific Ave
Ste 202
Forest Grove, OR 97116
Phone 5033579548 ext. 524

Practitioners & affiliated clinicians

Practitioners 3

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225244304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 PACIFIC AVE",
            "address_2": "SUITE 202",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162266",
            "telephone_number": "503-357-9548",
            "fax_number": "503-357-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 PACIFIC AVE",
            "address_2": "SUITE 202",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162266",
            "telephone_number": "503-357-9548",
            "fax_number": "503-357-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY INSTITUTE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-357-9548",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Grove, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.