Individual provider Active NPI

Cortney Aleese Taylor, M.D.

  • Child & Adolescent Psychiatry Physician
  • Beaverton, OR
National Provider Identifier
1295113876
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
LP03334 Issued in RI
Practice address
10700 SW Beaverton Hillsdale Hwy Ste 11
Beaverton, OR 97005-3035
Phone
(401) 444-3762
NPI assigned
May 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD201454 OR
Child & Adolescent Psychiatry Physician 2084P0804X MD.MD.61242485 WA
Child & Adolescent Psychiatry Physician 2084P0804X LP03334 RI Primary

Addresses

Primary practice location

10700 SW Beaverton Hillsdale Hwy Ste 11
Beaverton, OR 97005-3035

Mailing address

PO Box 154
Vancouver, WA 98666-0154
Phone (360) 600-1350

Other practice location 1

13500 SE 7th St
Vancouver, WA 98683-6909
Phone (360) 699-2244

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201101000024 OR Practitioner - Psychiatry 2961718473 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.MD.61242485WAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeworks NW CurrentSince Sep 21, 2020 Accepting new patients
Children'S Center Child & Adolescent Psychiatry Past Accepting new patients

Locations

10700 SW Beaverton Hillsdale Hwy
Ste 11
Beaverton, OR 97005
Phone (503) 641-1475

971 SW Walnut St
Hillsboro, OR 97123
Phone (503) 640-5297

5415 SW Westgate Dr
Portland, OR 97221
Phone (503) 645-9010

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/thechildrenscenter/r4/

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1295113876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 154",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986660154",
            "telephone_number": "360-600-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SW BEAVERTON HILLSDALE HWY STE 11",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053035",
            "telephone_number": "401-444-3762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13500 SE 7th St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986836909",
            "country_code": "US",
            "telephone_number": "360-699-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CORTNEY",
        "middle_name": "ALEESE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OR",
            "license": "MD201454",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "MD.MD.61242485",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "RI",
            "license": "LP03334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.