Organization Active NPI

Forensic Neuroscience Consultants LLC

Doing business as David Masolak MD

  • Psychiatry Physician
  • Portland, OR
National Provider Identifier
1477446771
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FORENSIC NEUROSCIENCE CONSULTANTS LLC
Doing business as
David Masolak MD
Practice address
2030 NW Raleigh St
Portland, OR 97209-2390
Phone
(630) 935-1548
NPI assigned
Jun 3, 2025
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
FORENSIC NEUROSCIENCE CONSULTANTS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
David Masolak, MDNPI 1205451085
Title
Owner
Phone
(630) 935-1548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X
Neurodevelopmental Disabilities Physician 2084P0005X
Psychiatry Physician 2084P0800X Primary
Addiction Psychiatry Physician 2084P0802X
Geriatric Psychiatry Physician 2084P0805X
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X

Addresses

Primary practice location

2030 NW Raleigh St
Portland, OR 97209-2390

Mailing address

2030 NW Raleigh St Apt 403
Portland, OR 97209-2374
Phone (630) 935-1548

Other names 1

  • David Masolak MD Doing business as

National Provider Directory

National Provider Directory
Part of
Forensic Neuroscience Consultants LLC

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": "1748908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1477446771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 NW RALEIGH ST APT 403",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092374",
            "telephone_number": "630-935-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 NW RALEIGH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092390",
            "telephone_number": "630-935-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORENSIC NEUROSCIENCE CONSULTANTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FORENSIC NEUROSCIENCE CONSULTANTS LLC",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "MASOLAK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-935-1548",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0005X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Masolak MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 3, 2025; 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.