Organization Active NPI

Behavioral Healthcare Northwest PC

  • Psychologist
  • Portland, OR
National Provider Identifier
1245306711
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
BEHAVIORAL HEALTHCARE NORTHWEST PC
Practice address
10000 SE Main St
Ste 215
Portland, OR 97216-2442
Phone
(503) 252-9690
Fax
(503) 252-2720
NPI assigned
Nov 28, 2006
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
Dr. William Hurley Mullins, PHD
Title
President
Phone
(503) 252-9690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

10000 SE Main St
Ste 215
Portland, OR 97216-2442

Mailing address

10000 SE Main St
Ste 215
Portland, OR 97216-2442
Phone (503) 252-9690

National Provider Directory

National Provider Directory

Locations

10000 SE Main St
Ste 215
Portland, OR 97216
Phone (503) 251-6286

10000 SE Main St
Ste 148
Portland, OR 97216
Phone (503) 252-9690

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": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245306711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST",
            "address_2": "STE 215",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162442",
            "telephone_number": "503-252-9690",
            "fax_number": "503-252-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST",
            "address_2": "STE 215",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162442",
            "telephone_number": "503-252-9690",
            "fax_number": "503-252-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTHCARE NORTHWEST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HURLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-252-9690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 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.