Northwest Family Mental Health Services LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

NORTHWEST FAMILY MENTAL HEALTH SERVICES LLC

Practice address

1675 SW Marlow Ave
Suite 303
Portland, OR 97225-5104

Phone

(503) 601-3770

Fax

(503) 601-3775

NPI assigned

May 23, 2014

Organization subpart

No

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

Authorized official

Name

Christina Michelle Tingley, MSW

Title

MSW, Owner

Phone

(503) 601-3770

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.

• Avery Malby Figueroa, LCSW

  • Clinical Social Worker
  • Portland, OR
  • NPI 1720476690
  NPD (past)

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1457763443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 SW MARLOW AVE",
            "address_2": "SUITE 303",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255104",
            "telephone_number": "503-601-3770",
            "fax_number": "503-601-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 SW MARLOW AVE",
            "address_2": "SUITE 303",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255104",
            "telephone_number": "503-601-3770",
            "fax_number": "503-601-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST FAMILY MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-23",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "TINGLEY",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "MSW, OWNER",
        "authorized_official_telephone_number": "503-601-3770",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Extremity Specialists LLC
• Northwest Extremity Specialists LLC
• Northwest Extremity Specialists, LLC
• Northwest Eye Associates LLC
• Northwest Family Acupuncture
• Northwest Family Services
• Northwest Foot & Ankle
• Northwest Forensic Institute
• Northwest Gastroenterology Clinic LLC
• Northwest Habilitation Services, LLC

• Adolescent and Children Mental Health Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Adolescent and Children Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.