NPIMap

Organization Active NPI

Pacifica Psych, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Oswego, OR
National Provider Identifier
1629732813
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PACIFICA PSYCH, LLC
Doing business as
UpWell Psychiatry, LLC
Practice address
5200 Meadows Rd Ste 150
Lake Oswego, OR 97035-0066
Phone
(971) 202-1122
Fax
(855) 978-2666
NPI assigned
Oct 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Dr. Kelly Aldinger, PMHNP-BC (DNP)NPI 1801133475
Title
Owner; Provider
Phone
(971) 202-1122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

5200 Meadows Rd Ste 150
Lake Oswego, OR 97035-0066

Mailing address

PO Box 1610
Scappoose, OR 97056-1610
Phone (971) 202-1122

Other names 1

  • UpWell Psychiatry, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1629732813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1610",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970561610",
            "telephone_number": "971-202-1122",
            "fax_number": "855-978-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 MEADOWS RD STE 150",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970350066",
            "telephone_number": "971-202-1122",
            "fax_number": "855-978-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA PSYCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "ALDINGER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER; PROVIDER",
        "authorized_official_telephone_number": "971-202-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PMHNP-BC (DNP)"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UpWell Psychiatry, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UpWell Psychiatry, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.