Active NPI
Tymberly Seim, MD
- Child & Adolescent Psychiatry Physician
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD196055
- Practice address
- 821 Saginaw St S
Salem, OR 97302-4121 - Phone
- (503) 362-1999
- NPI assigned
- Apr 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD196055 | OR | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD196055 | OR | Primary |
Addresses
Primary practice location
821 Saginaw St S
Salem, OR 97302-4121
Mailing address
821 Saginaw St S
Salem, OR 97302-4121
Phone (503) 362-1999
Other practice location 1
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 418-5376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
821 Saginaw St S
Salem, OR 97302-4121
Phone (503) 362-1999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD196055 | OR | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Emanuel Hospital & Health Center | Psychiatry | Current | Accepting new patients |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| PSJ Acquisition LLC | Psychiatry | Current | Accepting new patients |
| Salem Psychiatric Associates, P.C. | Psychiatry | Current | Accepting new patients |
| PSJ Acquisition LLC | Current | Accepting new patients |
Locations
510 4th St S
Fargo, ND 58103
Phone (701) 476-7200
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
1225 NE 2nd Ave
Portland, OR 97232
Phone (503) 413-5051
821 Saginaw St S
Salem, OR 97302
Phone (503) 362-1999
Organizations & group practices 6
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.
-
- Psychiatry Physician
- Salem, OR
- NPI 1619061314
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1417977976
-
- Psychologist
- Fargo, ND
- NPI 1720454267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1356736896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 SAGINAW ST S",
"city": "SALEM",
"state": "OR",
"postal_code": "973024121",
"telephone_number": "503-362-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 SAGINAW ST S",
"city": "SALEM",
"state": "OR",
"postal_code": "973024121",
"telephone_number": "503-362-1999"
}
],
"practiceLocations": [
{
"address_1": "3181 SW Sam Jackson Park Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972393011",
"country_code": "US",
"telephone_number": "503-418-5376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEIM",
"first_name": "TYMBERLY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-01",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "MD196055",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OR",
"license": "MD196055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.