Westlake Psychiatry & Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WESTLAKE PSYCHIATRY & WELLNESS LLC

Practice address

14535 Westlake Dr Ste C
Lake Oswego, OR 97035-7775

Phone

(503) 214-2431

Fax

(503) 214-8460

NPI assigned

Jul 24, 2024

Organization subpart

No

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

Authorized official

Name

Kimberly Rickel, PMHNP-BCNPI 1619664497

Title

LLC Owner

Phone

(406) 570-1169

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Renee Rickel, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
  • NPI 1619664497
  NPD Authorized official

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1346078037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14535 WESTLAKE DR STE C",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357775",
            "telephone_number": "503-214-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14535 WESTLAKE DR STE C",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357775",
            "telephone_number": "503-214-2431",
            "fax_number": "503-214-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE PSYCHIATRY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "RICKEL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "LLC OWNER",
        "authorized_official_telephone_number": "406-570-1169",
        "authorized_official_credential": "PMHNP-BC"
    },
    "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": []
}

• Westlake Bodyworks
• Westlake Chiropractic, P.C.
• Westlake Integrative Medicine LLC
• Westlake Internal Medicine, LLC
• Westlake Massage Therapy
• Julianne Westlake, ARNP
• Tyler Wheldon
• Kara Whisler
• Jordon Whitaker, PT, DPT
• David K White, MD

• Psychiatric/Mental Health Nurse Practitioner in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.