Individual provider Active NPI

Chad M Sawyer, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, OR
National Provider Identifier
1497989669
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201601235NP-PP Issued in OR
Practice address
182 SW Academy St
Suite 333
Dallas, OR 97338-1996
Phone
(503) 623-9289
Fax
(503) 585-0128
NPI assigned
May 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 18109NP OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201601235NP-PP OR Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 06883923 NH

Addresses

Primary practice location

182 SW Academy St
Suite 333
Dallas, OR 97338-1996

Mailing address

150 Hawks Cove CT
Granville, OH 43023-9020
Phone (817) 994-5362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210423002128 OR Practitioner - Nurse Practitioner 2567500580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of PolkGroup PAC ID 7315930492, 9 clinicians

Practice addresses (Care Compare)

182 SW Academy St
Suite 302
Dallas, OR 97338-1900
Phone (503) 623-8175

Hospital & facility affiliations

  • Salem Health West Valley Hospital, Dallas, OR, CCN 381308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06883923NHMDPsychiatric/Mental Health Nurse Practitioner
18109NPOHMDPsychiatric/Mental Health Nurse Practitioner
201601235NP-PPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Polk CurrentSince Jan 12, 2021 Accepting new patients
County of Polk CurrentSince Jan 12, 2021 Accepting new patients
Albert Boyd MD PA Past Accepting new patients

Locations

182 SW Academy St
Ste 333
Dallas, OR 97338
Phone (503) 623-9289

182 SW Academy St
Ste 302
Dallas, OR 97338
Phone (503) 623-8175

1520 Plaza St NW
Ste 150
Salem, OR 97304
Phone (503) 585-3012

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1497989669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HAWKS COVE CT",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239020",
            "telephone_number": "817-994-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 SW ACADEMY ST",
            "address_2": "SUITE 333",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381996",
            "telephone_number": "503-623-9289",
            "fax_number": "503-585-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER",
        "first_name": "CHAD",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-04",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "18109NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201601235NP-PP",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "06883923",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, OR

Sources for this page

Verify at the official NPI Registry.