Organization Active NPI

Wellify Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1316718141
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
WELLIFY HEALTH
Practice address
1050 SW 6TH Ave Ste 1100
Portland, OR 97204-1153
Phone
(971) 251-4055
Fax
(971) 231-0183
NPI assigned
Jan 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Talia Ram Baruch, PMHNPNPI 1942817846
Title
Psychiatric Mental Health Nurse P
Phone
(971) 251-4055

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: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1050 SW 6TH Ave Ste 1100
Portland, OR 97204-1153

Mailing address

1050 SW 6TH Ave Ste 1100
Portland, OR 97204-1153
Phone (971) 251-4055

National Provider Directory

National Provider Directory

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": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1316718141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SW 6TH AVE STE 1100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041153",
            "telephone_number": "971-251-4055",
            "fax_number": "971-231-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SW 6TH AVE STE 1100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041153",
            "telephone_number": "971-251-4055",
            "fax_number": "971-231-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLIFY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "BARUCH",
        "authorized_official_first_name": "TALIA",
        "authorized_official_middle_name": "RAM",
        "authorized_official_title_or_position": "PSYCHIATRIC MENTAL HEALTH NURSE  P",
        "authorized_official_telephone_number": "971-251-4055",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "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 Apr 1, 2024; 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.