Organization Active NPI

Hauskaa Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tigard, OR
National Provider Identifier
1295582575
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HAUSKAA PSYCHIATRY LLC
Practice address
7145 SW Varns St Ste 101
Tigard, OR 97223-8170
Phone
(971) 405-2584
NPI assigned
May 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Elliott Louis Koivisto, PMHNPNPI 1407592397
Title
Owner
Phone
(503) 522-2831

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

7145 SW Varns St Ste 101
Tigard, OR 97223-8170

Mailing address

7145 SW Varns St Ste 101
Tigard, OR 97223-8170
Phone (971) 405-2584

Other identifiers 1

IdentifierTypeStateIssuer
500847119MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250910002993 OR Part B Supplier - Clinic/Group Practice 7113420795 Receives reassigned benefits from 1 practitioner
Practice locations: Tigard, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1295582575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7145 SW VARNS ST STE 101",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238170",
            "telephone_number": "971-405-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7145 SW VARNS ST STE 101",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238170",
            "telephone_number": "971-405-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAUSKAA PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "KOIVISTO",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-522-2831",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500847119",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.