Organization Active NPI

Georgia Wilcox and Associates PC

  • Adult Mental Health Clinic/Center
  • Portland, OR
National Provider Identifier
1437312246
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
1455 Issued in OR
Legal business name
GEORGIA WILCOX AND ASSOCIATES PC
Practice address
2800 N Vancouver Ave
#231
Portland, OR 97227-1643
Phone
(503) 452-2797
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Georgia Gayle Wilcox, PSYDNPI 1710970413
Title
Psychologist
Phone
(503) 452-2797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 1455 OR Primary

Addresses

Primary practice location

2800 N Vancouver Ave
#231
Portland, OR 97227-1643

Mailing address

2800 N Vancouver Ave
#231
Portland, OR 97227-1643
Phone (503) 452-2797

National Provider Directory

National Provider Directory

Locations

5331 SW Macadam Ave
Ste 25
Portland, OR 97239
Phone (503) 452-2797

5331 S Macadam Ave
Ste 253
Portland, OR 97239
Phone (503) 452-2797

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1437312246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N VANCOUVER AVE",
            "address_2": "#231",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271643",
            "telephone_number": "503-452-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N VANCOUVER AVE",
            "address_2": "#231",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271643",
            "telephone_number": "503-452-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA WILCOX AND ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "503-452-2797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OR",
            "license": "1455",
            "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 Jul 2, 2008; 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.