NPIMap

Organization Active NPI

Cascadia Behavioral Healthcare

  • Mental Illness Community Based Residential Treatment Facility
  • Portland, OR
National Provider Identifier
1417003757
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
CASCADIA BEHAVIORAL HEALTHCARE
Practice address
5009 NE Killingsworth St
Portland, OR 97218-1915
Phone
(503) 402-8116
NPI assigned
Jan 27, 2007
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. Melonee Ann Melson, QMHA
Title
Counselor II
Phone
(503) 402-8116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X OR Primary

Addresses

Primary practice location

5009 NE Killingsworth St
Portland, OR 97218-1915

Mailing address

5015 NE Alberta CT
Portland, OR 97218-2033
Phone (503) 282-5482

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417003757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 NE ALBERTA CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972182033",
            "telephone_number": "503-282-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 NE KILLINGSWORTH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972181915",
            "telephone_number": "503-402-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADIA BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MELSON",
        "authorized_official_first_name": "MELONEE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "COUNSELOR II",
        "authorized_official_telephone_number": "503-402-8116",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "QMHA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OR",
            "license": null,
            "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.