Organization Active NPI

Climb Behavioral Solutions, LLC

  • Behavior Analyst
  • Portland, OR
National Provider Identifier
1588276364
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CLIMB BEHAVIORAL SOLUTIONS, LLC
Practice address
809B SE Sherman St
Portland, OR 97214-4666
Phone
(864) 621-7408
Fax
(503) 802-5351
NPI assigned
Aug 21, 2020
Last updated
Aug 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Authorized official

Name
Casey L Marin-Shover, MA, BCBA, LBA
Title
Owner/Founder
Phone
(864) 621-7408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

809B SE Sherman St
Portland, OR 97214-4666

Mailing address

2614 SE 28TH Ave
Portland, OR 97202-1311
Phone (864) 621-7408

Other identifiers 2

IdentifierTypeStateIssuer
1790118552OtherORNPI TYPE 1
500685400MedicaidOR

National Provider Directory

National Provider Directory

Locations

809 SE Sherman St
#B
Portland, OR 97214
Phone (864) 621-7408

811 SE Sherman St
Portland, OR 97214
Phone (971) 225-9527

Practitioners & affiliated clinicians

Practitioners 3

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": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1588276364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 SE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021311",
            "telephone_number": "864-621-7408",
            "fax_number": "503-802-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809B SE SHERMAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144666",
            "telephone_number": "864-621-7408",
            "fax_number": "503-802-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIMB BEHAVIORAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "MARIN-SHOVER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "864-621-7408",
        "authorized_official_credential": "MA, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1790118552",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500685400",
            "state": "OR"
        }
    ],
    "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 Aug 21, 2020; 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.