NPIMap

Organization Active NPI

Janus Youth Program

  • Mental Illness Community Based Residential Treatment Facility
  • Portland, OR
National Provider Identifier
1679983381
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
JANUS YOUTH PROGRAM
Practice address
142 SE 160TH Ave Apt 24
Portland, OR 97233-3558
Phone
(503) 841-4393
NPI assigned
May 2, 2014
Last updated
May 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Authorized official

Name
Calvin D GriggsNPI 1447641394
Title
Counselor
Phone
(503) 841-4393

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
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

142 SE 160TH Ave Apt 24
Portland, OR 97233-3558

Mailing address

142 SE 160TH Ave Apt 24
Portland, OR 97233-3558
Phone (503) 841-4393

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1679983381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 SE 160TH AVE APT 24",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972333558",
            "telephone_number": "503-841-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 SE 160TH AVE APT 24",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972333558",
            "telephone_number": "503-841-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANUS YOUTH PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "GRIGGS",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "503-841-4393"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.