Organization Active NPI

Performance Solutions Unlimited, LLC

  • Clinical Social Worker
  • Portland, OR
National Provider Identifier
1528466216
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L6137 Issued in OR
Legal business name
PERFORMANCE SOLUTIONS UNLIMITED, LLC
Practice address
8885 SW Canyon Rd
Suite 210
Portland, OR 97225-3431
Phone
(317) 418-9149
Fax
(503) 954-2177
NPI assigned
Dec 11, 2014
Last updated
Dec 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Authorized official

Name
Dr. A Monique Busch, PHD, ACSW, LCSW
Title
Owner
Phone
(317) 418-9149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L6137 OR Primary

Addresses

Primary practice location

8885 SW Canyon Rd
Suite 210
Portland, OR 97225-3431

Mailing address

8885 SW Canyon Rd
Suite 210
Portland, OR 97225-3431
Phone (317) 418-9149

National Provider Directory

National Provider Directory

Locations

121 SW Salmon St
Ste 1100
Portland, OR 97204
Phone (317) 418-9119

NPI Registry JSON

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1528466216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8885 SW CANYON RD",
            "address_2": "SUITE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972253431",
            "telephone_number": "317-418-9149",
            "fax_number": "503-954-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8885 SW CANYON RD",
            "address_2": "SUITE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972253431",
            "telephone_number": "317-418-9149",
            "fax_number": "503-954-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE SOLUTIONS UNLIMITED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "A MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-418-9149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, ACSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L6137",
            "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 Dec 11, 2014; 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.