Individual provider Active NPI

Brian J McCarthy, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1336461813
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
214786 Issued in NC
Practice address
1015 NW 22ND Ave
Portland, OR 97210-3025
Phone
(503) 413-8938
Fax
(503) 413-6380
NPI assigned
Feb 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202102494NP-PP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 85767 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 218849 AK
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10886-33 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8270 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 214786 NC Primary
Registered Nurse 163W00000X MSL214785NC NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP9700 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61147349 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0103516-C-NP CO

Addresses

Primary practice location

1015 NW 22ND Ave
Portland, OR 97210-3025

Mailing address

3713 University Dr Ste B
Durham, NC 27707-6202
Phone (919) 401-6212

Other practice location 1

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 636-4836

Other practice location 2

11600 W 2nd Pl
Lakewood, CO 80228-1527
Phone (720) 321-0000

Other practice location 3

400 NE Mother Joseph Pl
Vancouver, WA 98664-3200
Phone (360) 514-3191

Other practice location 4

401 E Spruce St
Garden City, KS 67846-5679
Phone (303) 673-7531

Other practice location 5

4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (612) 262-1220

Other practice location 6

1615 Polo Rd
Winston Salem, NC 27106-3831
Phone (919) 401-6212

Other practice location 7

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 228-7660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OR, WA, MN, CT, MO, PA, AK, MI, NY, CO, WI12 enrollments
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 12

Enrollment IDStateProvider typePAC IDDetails
I20100701000592 NC Practitioner - Nurse Practitioner 3072644228 Reassigns benefits to 8 organizations
I20210524000565 OR Practitioner - Nurse Practitioner 3072644228 Reassigns benefits to 6 organizations
I20210608001973 WA Practitioner - Nurse Practitioner 3072644228 Reassigns benefits to 3 organizations
I20210720004004 MN Practitioner - Nurse Practitioner 3072644228 Reassigns benefits to 1 organization
I20211220001049 CT Practitioner - Nurse Practitioner 3072644228 Reassigns benefits to 1 organization
I20220224000112 MO Practitioner - Nurse Practitioner 3072644228 Reassigns benefits to 1 organization
I20230918003672 PA Practitioner - Nurse Practitioner 3072644228 Reassigns benefits to 1 organization
I20240809003632 AK Practitioner - Nurse Practitioner 3072644228 Reassigns benefits to 2 organizations
I20240826000354 MI Practitioner - Nurse Practitioner 3072644228 Reassigns benefits to 2 organizations
I20241125002815 NY Practitioner - Nurse Practitioner 3072644228 Reassigns benefits to 2 organizations
I20250314001543 CO Practitioner - Nurse Practitioner 3072644228 Reassigns benefits to 1 organization
I20250506001505 WI Practitioner - Nurse Practitioner 3072644228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peacehealth Medical GroupGroup PAC ID 9032023270, 256 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians
Edward W Sparrow Hospital AssociationGroup PAC ID 6709799166, 698 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
SSM Regional Health ServicesGroup PAC ID 8921917352, 165 clinicians
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians
Alder Grove Counseling Collaborative, PLLCGroup PAC ID 2860917341, 5 clinicians
Nuvance Health Medical Practice PCGroup PAC ID 1658468442, 578 clinicians

Practice addresses (Care Compare)

Winston Salem, NC 27104
Phone (541) 222-2185

Winston Salem, NC 27106
Phone (336) 414-4897

Washington, NC 27889
Phone (570) 271-6523

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3480

1130 NW 22ND Ave
Suite 220
Portland, OR 97210-2969
Phone (503) 413-8988

11600 W 2ND PL
Sah Behavioral Health
Lakewood, CO 80228-1527
Phone (720) 321-0000

1210 W Saginaw St FL
2 Sparrow Behavioral Health Services
Lansing, MI 48915-1927
Phone (517) 364-7700

1617 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6600

1629 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6000

24800 SE Stark St
Gresham, OR 97030-3378
Phone (503) 413-8988

2505 Mission Dr
Jefferson City, MO 65109-9508
Phone (573) 681-3249

2701 W Edgewood Dr
101 SSM Health Medical Group Behaviora
Jefferson City, MO 65109-5890
Phone (573) 634-5303

2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-7500

3000 Bethesda PL
Suite 402
Winston Salem, NC 27103-3326
Phone (336) 223-6910

3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-6000

4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (612) 262-1220

45 Reade PL
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500

Hospital & facility affiliations

  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023
  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031
  • Centura Health-St Anthony Hospital Hospital, Lakewood, CO, CCN 060015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
MSL214785NCNCMDRegistered Nurse
AP9700AZMDPsychiatric/Mental Health Nurse Practitioner
214786NCMDPsychiatric/Mental Health Nurse Practitioner
AP61147349WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Jun 1, 2021 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Apr 1, 2025 Accepting new patients
Allina Health System Current Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jun 1, 2021 Accepting new patients
Peacehealth CurrentSince Dec 17, 2024 Accepting new patients
Peacehealth Current Accepting new patients
Tower Health Medical Group CurrentSince Aug 6, 2023 Accepting new patients
SSM Regional Health Services CurrentSince Jan 1, 2022 Accepting new patients
Peacehealth Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Mar 6, 2025 Accepting new patients
Alder Grove Counseling Collaborative, PLLC CurrentSince Mar 11, 2025 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Aug 18, 2024 Accepting new patients
Peacehealth Medical Group CurrentSince Oct 31, 2023 Accepting new patients
Peacehealth CurrentSince Jul 1, 2024 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Geisinger Clinic CurrentSince Mar 14, 2022 Accepting new patients
Allina Health System CurrentSince Mar 2, 2025 Accepting new patients
Allina Health System CurrentSince Jun 1, 2021 Accepting new patients
Geisinger Clinic Current Accepting new patients
McLaren Medical Group CurrentSince Aug 1, 2024 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Legacy Clinics LLC CurrentSince Jun 1, 2021 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Mar 27, 2022 Accepting new patients
Tower Health Medical Group CurrentSince Aug 6, 2023 Accepting new patients
McLaren Medical Group Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Mar 6, 2025 Accepting new patients
Peacehealth CurrentSince Aug 25, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jun 1, 2021 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Mar 27, 2022 Accepting new patients
Peacehealth Medical Group Cottage Grove CurrentSince Oct 31, 2023 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Apr 1, 2025 Accepting new patients
Peacehealth CurrentSince Dec 17, 2024 Accepting new patients
Peacehealth CurrentSince Oct 31, 2023 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Peacehealth CurrentSince Dec 17, 2024 Accepting new patients
McLaren Medical Group CurrentSince Aug 1, 2024 Accepting new patients
Nuvance Health Medical Practice PC CurrentSince Sep 20, 2024 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Aug 18, 2024 Accepting new patients
SSM Regional Health Services CurrentSince Jan 1, 2022 Accepting new patients
Peacehealth Current Accepting new patients
Allina Health System CurrentSince Mar 2, 2025 Accepting new patients
Allina Health System Current Accepting new patients
Wellmood PLLC PastSince Jan 1, 2024 Accepting new patients

Locations (25 of 40)

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

7655 Solutions Ctr
Chicago, IL 60677

8175 Reliable Pkwy
Chicago, IL 60686

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

5979 Lakeshore Rd
Fort Gratiot, MI 48059
Phone (810) 385-6370

1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2701 W Edgewood Dr
Ste 101
Jefferson Cty, MO 65109
Phone (573) 634-5303

6255 Towncenter Dr
Clemmons, NC 27012
Phone (336) 569-4340

3000 Bethesda Pl
Ste 402
Winston Salem, NC 27103
Phone (336) 223-6910

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

Interoperability endpoints

  • Direct secure messaging: bmccarthy628936@direct.peacehealth.org
  • Direct secure messaging: brian.mccarthynpbh.p1@direct.commhealthclinic.nextgenshare.com

Organizations & group practices 43

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.

View all 43

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1336461813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 UNIVERSITY DR STE B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076202",
            "telephone_number": "919-401-6212",
            "fax_number": "919-401-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 NW 22ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103025",
            "telephone_number": "503-413-8938",
            "fax_number": "503-413-6380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322367",
            "country_code": "US",
            "telephone_number": "360-636-4836",
            "fax_number": "360-636-6792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11600 W 2nd Pl",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281527",
            "country_code": "US",
            "telephone_number": "720-321-0000",
            "fax_number": "720-321-4165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 NE Mother Joseph Pl",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986643200",
            "country_code": "US",
            "telephone_number": "360-514-3191",
            "fax_number": "360-729-3372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 E Spruce St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "678465679",
            "country_code": "US",
            "telephone_number": "303-673-7531",
            "fax_number": "303-397-2054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4050 Coon Rapids Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554332522",
            "country_code": "US",
            "telephone_number": "612-262-1220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Polo Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271063831",
            "country_code": "US",
            "telephone_number": "919-401-6212",
            "fax_number": "919-401-4170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Tongass Ave",
            "address_purpose": "LOCATION",
            "city": "Ketchikan",
            "state": "AK",
            "postal_code": "999015746",
            "country_code": "US",
            "telephone_number": "907-228-7660",
            "fax_number": "907-228-8549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-24",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202102494NP-PP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "85767",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "218849",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "10886-33",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "8270",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "214786",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "MSL214785NC",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP9700",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61147349",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0103516-C-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.