Active NPI
Anushka Shenoy, MD
- Psychiatry Physician
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD193676
- Practice address
- 15455 NW Greenbrier Pkwy
Suite #120
Beaverton, OR 97006-9700 - Phone
- (503) 476-1189
- NPI assigned
- Aug 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD193676 | OR | Primary |
Addresses
Primary practice location
15455 NW Greenbrier Pkwy
Suite #120
Beaverton, OR 97006-9700
Mailing address
811 E Burnside St Ste 217
Portland, OR 97214-1231
Phone (503) 476-1189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Oregon Health Sciences University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15455 NW Greenbrier Pkwy
Suite 120
Beaverton, OR 97006-8115
Phone (503) 476-1189
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Health Northwest LLC | Psychiatry | Current | Accepting new patients |
| Lifeworks NW | Current | Accepting new patients |
Locations
15455 NW Greenbrier Pkwy
Ste 120
Beaverton, OR 97006
Phone (503) 476-1189
5240 NE Elam Young Pkwy
Ste 700
Hillsboro, OR 97124
971 SW Walnut St
Hillsboro, OR 97123
Phone (503) 640-5297
5415 SW Westgate Dr
Ste 100
Portland, OR 97221
811 E Burnside St
Ste 217
Portland, OR 97214
Phone (503) 432-3268
5415 SW Westgate Dr
Portland, OR 97221
Phone (503) 645-9010
Interoperability endpoints
- https://ehr.charmtracker.com/api/ehr/v1/fhir
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Portland, OR
- NPI 1144993015
-
- Mental Health Counselor
- Portland, OR
- NPI 1467408013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1689008682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 E BURNSIDE ST STE 217",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141231",
"telephone_number": "503-476-1189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15455 NW GREENBRIER PKWY",
"address_2": "SUITE #120",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970069700",
"telephone_number": "503-476-1189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHENOY",
"first_name": "ANUSHKA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-26",
"last_updated": "2023-11-15",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "MD193676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.