Active NPI
Gabba, N.P., Psychiatric Services
- Adult Mental Health Clinic/Center
- West Linn, OR
National Provider Identifier
1659857548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Guadalupe Clementina Gabba, PMHNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
- NPI 1063701126
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.