NPIMap

Organization Active NPI

Northwest ADHD Treatment Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1225459548
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201150043NP Issued in OR
Legal business name
NORTHWEST ADHD TREATMENT CENTER
Practice address
10011 SE Division St
Suite 203
Portland, OR 97266-1351
Phone
(503) 255-2343
Fax
(503) 255-2344
NPI assigned
Jan 5, 2014
Last updated
Apr 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
Danell Bjornson, PMHNPNPI 1619260668
Title
President
Phone
(971) 533-4184

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201150043NP OR Primary
Clinical Psychologist 103TC0700X 2197 OR

Addresses

Primary practice location

10011 SE Division St
Suite 203
Portland, OR 97266-1351

Mailing address

PO Box 16308
Portland, OR 97292-0308
Phone (971) 231-5145

National Provider Directory

National Provider Directory
Tax ID family
Northwest ADHD Treatment Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10011 SE Division St
Ste 203
Portland, OR 97266
Phone (503) 255-2343

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1388880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1225459548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16308",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972920308",
            "telephone_number": "971-231-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 SE DIVISION ST",
            "address_2": "SUITE 203",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661351",
            "telephone_number": "503-255-2343",
            "fax_number": "503-255-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ADHD TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-05",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "BJORNSON",
        "authorized_official_first_name": "DANELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "971-533-4184",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201150043NP",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2197",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.