Precision Mental Performance LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PRECISION MENTAL PERFORMANCE LLC

Practice address

17933 NW Evergreen PL Ste 285
Beaverton, OR 97006-7532

Phone

(503) 379-1902

Fax

(503) 379-1964

NPI assigned

Jul 21, 2021

Organization subpart

No

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

Authorized official

Name

Lawrence K Robbins, RN

Title

Owner

Phone

(503) 379-1902

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• NeuStart Psychiatry Doing business as

Tax ID family

Neustart Psychiatry4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Precision Mental Performance LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
  • NPI 1316569502
  NPD tax ID
• Precision Mental Performance LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Salem, OR
  • NPI 1780166116
  NPD tax ID
• Precision Mental Performance LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bend, OR
  • NPI 1881348647
  NPD tax ID

Locations

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1649843293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 MISSION ST SE STE 305",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973020038",
            "telephone_number": "503-379-1902",
            "fax_number": "503-379-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17933 NW EVERGREEN PL STE 285",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067532",
            "telephone_number": "503-379-1902",
            "fax_number": "503-379-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION MENTAL PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-379-1902",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500754977",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuStart Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NeuStart Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.