Christine Lynn McCambridge, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

201602540NP-PP Issued in OR

Practice address

2600 NE Highway 101 Ste 200
Lincoln City, OR 97367-4464

Phone

(541) 921-3584

Fax

(541) 614-1291

NPI assigned

Feb 5, 2007

Last updated

Sep 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Christine Lynn McCambridgeGroup PAC ID 6608284385, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christine Lynn McCambridge

  dba Changing Tides Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincoln City, OR
  • NPI 1619570322
  Medicare reassignment Care Compare group NPD Authorized official
• Western Psychological and Counseling Services LLC

  dba LifeStance Health

  • Clinical Psychologist
  • Tacoma, WA
  • NPI 1912008178

  OR

  Medicare reassignment
• Renovo Chiropractic LLC

  • Clinic/Center
  • Lincoln City, OR
  • NPI 1710442751
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1245379650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 NE HIGHWAY 101 STE 200",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973674464",
            "telephone_number": "541-921-3584",
            "fax_number": "541-614-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 NE HIGHWAY 101 STE 200",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973674464",
            "telephone_number": "541-921-3584",
            "fax_number": "541-614-1291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9700 SW Beaverton Hillsdale Hwy",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970053306",
            "country_code": "US",
            "telephone_number": "503-626-9494",
            "fax_number": "503-646-5671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCAMBRIDGE",
        "first_name": "CHRISTINE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201602540NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "2593248",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6113066",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004070",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "175068",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500714310",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Beth Margulis, M.S., MFC
• Dianne T Mason, LCSW
• Nina Louise Mattarella, MD
• Robin Mays, RPH
• Brenda McAllister, RN
• Caitlyn McCoy, DO
• Jeffrey H McDonald, MD
• Kenneth Randall McEvers, DC
• Jacob Lane Merritt, MA
• Marty Michelson, LPC

• Psychiatric/Mental Health Nurse Practitioner in Lincoln City, OR
• Providers in Lincoln City, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.