Michael Ethan Gelb, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD26391 Issued in OR

Practice address

1318 NW 20TH Ave
Suite a
Portland, OR 97209-1671

Phone

(503) 223-1514

Fax

(503) 227-8058

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1316953219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 NW 20TH AVE",
            "address_2": "SUITE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091671",
            "telephone_number": "503-223-1514",
            "fax_number": "503-227-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 NW 20TH AVE",
            "address_2": "SUITE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091671",
            "telephone_number": "503-223-1514",
            "fax_number": "503-227-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELB",
        "first_name": "MICHAEL",
        "middle_name": "ETHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD26391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgelb1657720@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1162 Montgomery Dr Ste 2",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954054802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kurt Lee Geist, QMHA
• Pamela Ruth Geister, E.F.D.A.
• Geistlinger Enterprises Inc
• Robert Geistwhite, MD
• Gary Allen Gelardo, ARNP
• Gita D Gelfer, DO
• Baseti Gelgelu
• Demeti Gelgelu
• Kylie Lauren Gelin
• Andrea Amanda Gelinske-Shettler, LMT

• Psychiatry Physician in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.