Organization Active NPI

Gabba, N.P., Psychiatric Services

  • Adult Mental Health Clinic/Center
  • West Linn, OR
National Provider Identifier
1659857548
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
GABBA, N.P., PSYCHIATRIC SERVICES
Practice address
2500 Willamette Falls Dr Ste 203
West Linn, OR 97068-4722
Phone
(503) 302-0303
Fax
(503) 657-3957
NPI assigned
Jul 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Authorized official

Name
Guadalupe Clementina Gabba, PMHNPNPI 1063701126
Title
Owner
Phone
(503) 302-0303

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2500 Willamette Falls Dr Ste 203
West Linn, OR 97068-4722

Mailing address

2815 Carriage Way
West Linn, OR 97068-2212
Phone (503) 828-2217

National Provider Directory

National Provider Directory

Locations

2500 Willamette Falls Dr
Ste 203
West Linn, OR 97068
Phone (503) 302-0303

Practitioners & affiliated clinicians

Practitioners 1

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": "1531526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1659857548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 CARRIAGE WAY",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970682212",
            "telephone_number": "503-828-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 WILLAMETTE FALLS DR STE 203",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684722",
            "telephone_number": "503-302-0303",
            "fax_number": "503-657-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABBA, N.P., PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-14",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "GABBA",
        "authorized_official_first_name": "GUADALUPE",
        "authorized_official_middle_name": "CLEMENTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-302-0303",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.