NPIMap

Organization Active NPI

Rework Behavioral Therapy, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Portland, OR
National Provider Identifier
1619599545
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
REWORK BEHAVIORAL THERAPY, LLC
Practice address
7724 SE Aspen Summit Dr Ste 300
Portland, OR 97266-9217
Phone
(503) 732-0273
NPI assigned
May 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Authorized official

Name
Wesley Cox
Title
Owner/Operations
Phone
(503) 732-0273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

7724 SE Aspen Summit Dr Ste 300
Portland, OR 97266-9217

Mailing address

7724 SE Aspen Summit Dr Ste 300
Portland, OR 97266-9217
Phone (503) 732-0273

National Provider Directory

National Provider Directory

Locations

7724 SE Aspen Summit Dr
Ste 300
Portland, OR 97266
Phone (503) 732-0273

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1619599545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7724 SE ASPEN SUMMIT DR STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972669217",
            "telephone_number": "503-732-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7724 SE ASPEN SUMMIT DR STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972669217",
            "telephone_number": "503-732-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REWORK BEHAVIORAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER/OPERATIONS",
        "authorized_official_telephone_number": "503-732-0273"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "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 Oct 15, 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.