Center of Excellence in Co-Occurring Medicine

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD165076 Issued in OR

Legal business name

CENTER OF EXCELLENCE IN CO-OCCURRING MEDICINE

Practice address

3570 SW River Pkwy
Portland, OR 97239-4534

Phone

(888) 418-2993

Fax

(888) 418-2994

NPI assigned

Nov 9, 2016

Last updated

Jan 17, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

SIMAS LIMITED/PSYCHIATRIST ON-CALLAs reported in NPPES

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

Authorized official

Name

Ms. Denise J Folston

Title

Billing Specialist

Phone

(541) 620-8170

Specialties & licenses 1

Addresses

Tax ID family

Center of Excellence in Co-Occurring Medicine2 organizations share this tax ID, including this one

Part of

Center of Excellence in Co-Occurring Medicine

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Psychiatrist on-Call, LLC

  • Psychiatry Physician
  • Beaverton, OR
  • NPI 1841772233
  NPD tax ID

Locations

Practitioners 1

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.

• Gilbert M. Simas, MD

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1497802383
  NPD

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1649712571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12655 SW CENTER ST STE 150",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051864",
            "telephone_number": "888-418-2993",
            "fax_number": "888-418-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 SW RIVER PKWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394534",
            "telephone_number": "888-418-2993",
            "fax_number": "888-418-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OF EXCELLENCE IN CO-OCCURRING MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIMAS LIMITED/PSYCHIATRIST ON-CALL",
        "enumeration_date": "2016-11-09",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "FOLSTON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "541-620-8170",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD165076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Natural Medicine, Inc
• Center for Ocular Prosthetics LLC (Christina Leitzel)
• Center for Osteopathic Insight, LLC
• Center for Relationship Therapy
• Center for Vein Restoration Or LLC
• Centered Healing LLC
• Centered Health Physical Therapy and Pilates LLC
• Centered in Motion, LLC
• Britta T Centoni, MA
• Central City Concern (Old Town Clinic Pharmacy)

• Psychiatry Physician in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.