NPIMap

Organization Active NPI

Serendipity Center Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Portland, OR
National Provider Identifier
1346244902
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
0273879-1 Issued in OR
Legal business name
SERENDIPITY CENTER INC
Practice address
14815 SE Division St
Portland, OR 97236-2336
Phone
(503) 761-7139
Fax
(503) 761-7917
NPI assigned
Jun 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Beverly J Wright
Title
Assistant Director
Phone
(503) 595-2753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 0273879-1 OR Primary

Addresses

Primary practice location

14815 SE Division St
Portland, OR 97236-2336

Mailing address

PO Box 33350
Portland, OR 97292-3350
Phone (503) 761-7139

National Provider Directory

National Provider Directory

Locations

14815 SE Division St
Portland, OR 97236
Phone (503) 761-7139

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346244902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33350",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972923350",
            "telephone_number": "503-761-7139",
            "fax_number": "503-761-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14815 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972362336",
            "telephone_number": "503-761-7139",
            "fax_number": "503-761-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENDIPITY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "503-595-2753",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "OR",
            "license": "0273879-1",
            "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 Aug 22, 2020; 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.