Active NPI
Sparks Psychiatry, PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Beaverton, OR
National Provider Identifier
1700677358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SPARKS PSYCHIATRY, PLLC
- Practice address
- 1500 NW Bethany Blvd.
Suite 200
Beaverton, OR 97006 - Phone
- (503) 782-5651
- NPI assigned
- May 14, 2025
- 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
- Jody Pauwels
- Title
- Owner/Manager
- Phone
- (503) 782-5651
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1500 NW Bethany Blvd.
Suite 200
Beaverton, OR 97006
Mailing address
7698 SW 143Rd St
Palmetto Bay, FL 33158-1638
Other practice location 1
207 N Fir St
Suite 200
Sisters, OR 97759
Phone (503) 782-5651
National Provider Directory
National Provider DirectoryPractitioners & 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
- Bend, OR
- NPI 1841571015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751414400000",
"number": "1700677358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7698 SW 143RD ST",
"city": "PALMETTO BAY",
"state": "FL",
"postal_code": "331581638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 NW BETHANY BLVD.",
"address_2": "SUITE 200",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "97006",
"telephone_number": "503-782-5651"
}
],
"practiceLocations": [
{
"address_1": "207 N Fir St",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Sisters",
"state": "OR",
"postal_code": "97759",
"country_code": "US",
"telephone_number": "503-782-5651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SPARKS PSYCHIATRY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-14",
"last_updated": "2025-07-02",
"certification_date": "2025-06-16",
"status": "A",
"authorized_official_last_name": "PAUWELS",
"authorized_official_first_name": "JODY",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "503-782-5651"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"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 Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.