NPIMap

Organization Active NPI

Oregon Psychiatric Partners LLP

  • Specialist
  • Eugene, OR
National Provider Identifier
1710029889
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
OREGON PSYCHIATRIC PARTNERS LLP
Practice address
3203 Willamette St
Eugene, OR 97405-3348
Phone
(541) 726-9912
Fax
(541) 744-4443
NPI assigned
Feb 13, 2007
Last updated
Sep 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Dr. Nicholas W Telew, M.D.NPI 1144287723
Title
Partner
Phone
(541) 726-9912

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3203 Willamette St
Eugene, OR 97405-3348

Mailing address

3203 Willamette St
Eugene, OR 97405-3348
Phone (541) 726-9912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040810000536 OR Part B Supplier - Clinic/Group Practice 0547232670 Receives reassigned benefits from 17 practitioners
Practice locations: Corvallis, OR; Eugene, OR

National Provider Directory

National Provider Directory

Locations

1831 NW Kings Blvd
Corvallis, OR 97330
Phone (503) 757-7833

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1710029889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 WILLAMETTE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053348",
            "telephone_number": "541-726-9912",
            "fax_number": "541-744-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 WILLAMETTE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053348",
            "telephone_number": "541-726-9912",
            "fax_number": "541-744-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON PSYCHIATRIC PARTNERS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "TELEW",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "541-726-9912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.