NPIMap

Organization Active NPI

Pabst Psychiatric Group

  • Psychiatric/Mental Health Nurse Practitioner
  • Tigard, OR
National Provider Identifier
1518233154
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201150092NP Issued in OR
Legal business name
PABST PSYCHIATRIC GROUP
Practice address
7105 SW Varns St
Suite 270
Tigard, OR 97223-8148
Phone
(503) 389-1500
Fax
(800) 974-5025
NPI assigned
Mar 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Authorized official

Name
Dr. Anthony Pabst, DNP, PMHNP-BC, RN
Title
Medical Director
Phone
(503) 389-1500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 201150092NP OR Primary

Addresses

Primary practice location

7105 SW Varns St
Suite 270
Tigard, OR 97223-8148

Mailing address

7105 SW Varns St
Suite 270
Tigard, OR 97223-8148
Phone (503) 389-1500

Other names 1

  • Portland Psychiatric Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1518233154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 SW VARNS ST",
            "address_2": "SUITE 270",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238148",
            "telephone_number": "503-389-1500",
            "fax_number": "800-974-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 SW VARNS ST",
            "address_2": "SUITE 270",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238148",
            "telephone_number": "503-389-1500",
            "fax_number": "800-974-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PABST PSYCHIATRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "PABST",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "503-389-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PMHNP-BC, RN"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201150092NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland Psychiatric Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.