Organization Active NPI

Seeded Somatics LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Portland, OR
National Provider Identifier
1700595949
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
SEEDED SOMATICS LLC
Practice address
5263 NE 32ND PL
Portland, OR 97211-6915
Phone
(971) 940-3634
NPI assigned
Nov 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Mr. Obi Schlachter, MA, CDACI, LPC-ASSOC
Title
Owner
Phone
(971) 940-3634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

5263 NE 32ND PL
Portland, OR 97211-6915

Mailing address

5263 NE 32ND PL
Portland, OR 97211-6915

Other identifiers 1

IdentifierTypeStateIssuer
1538309364MedicaidOR

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.

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1700595949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5263 NE 32ND PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972116915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5263 NE 32ND PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972116915",
            "telephone_number": "971-940-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEEDED SOMATICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "SCHLACHTER",
        "authorized_official_first_name": "OBI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-940-3634",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, CDACI, LPC-ASSOC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538309364",
            "state": "OR"
        }
    ],
    "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 Nov 16, 2022; 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.