Intercultual Psychiatric Progam

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

01301974 Issued in OR

Legal business name

INTERCULTUAL PSYCHIATRIC PROGAM

Practice address

3633 SE 35TH Place
Portland, OR 97202

Phone

(503) 418-5063

NPI assigned

Jul 15, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Ambika Kaphle, QMHA

Title

Qualified Mental Health Associate

Phone

(503) 418-5063

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1679703458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 SE 35TH PLACE",
            "city": "PORLTAND",
            "state": "OR",
            "postal_code": "97202",
            "telephone_number": "503-418-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 SE 35TH PLACE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97202",
            "telephone_number": "503-418-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERCULTUAL PSYCHIATRIC PROGAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "KAPHLE",
        "authorized_official_first_name": "AMBIKA",
        "authorized_official_title_or_position": "QUALIFIED MENTAL HEALTH ASSOCIATE",
        "authorized_official_telephone_number": "503-418-5063",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "QMHA"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OR",
            "license": "01301974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrative Wellness Acupuncture LLC
• Integrative Wellness Center, LLC
• Integretics, LLC (Oregon Clinical Massage)
• Integricare, Inc. (Community Homecare Northwest)
• Integrity Health Incorporated
• Interim Healthcare of Oregon, Inc.
• Internal Medicine Associates of Portland, LLC
• Internal Medicine Consultants, P.C.
• Internal Medicine of Oregon, LLC
• Internal Medicine Specialists, LLC

• Preferred Provider Organization in Portland, OR
• Providers in Portland, OR by specialty
• Preferred Provider Organization in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.