Active NPI
Climb Behavioral Solutions, LLC
- Behavior Analyst
- Portland, OR
National Provider Identifier
1588276364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790118552 | Other | OR | NPI TYPE 1 |
| 500685400 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Behavior Analyst
- Portland, OR
- NPI 1790118552
-
- Behavior Analyst
- Portland, OR
- NPI 1396161238
-
- Behavior Technician
- Fremont, CA
- NPI 1548768369
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.