NPIMap

Organization Active NPI

Sequoia Mental Health Services Inc

  • Community/Behavioral Health Agency
  • Aloha, OR
National Provider Identifier
1730167982
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SEQUOIA MENTAL HEALTH SERVICES INC
Practice address
4585 SW 185TH Ave
Aloha, OR 97007-1557
Phone
(503) 591-9280
Fax
(503) 848-2072
NPI assigned
Jan 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Authorized official

Name
David Pump
Title
Executive Director
Phone
(503) 591-9280

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X OR
Community/Behavioral Health Agency 251S00000X OR Primary
Mental Illness Community Based Residential Treatment Facility 320800000X OR

Addresses

Primary practice location

4585 SW 185TH Ave
Aloha, OR 97007-1557

Mailing address

4585 SW 185TH Ave
Aloha, OR 97007-1557
Phone (503) 591-9280

Other identifiers 1

IdentifierTypeStateIssuer
261503MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040423000880 OR Part B Supplier - Clinic/Group Practice 9436145661 Receives reassigned benefits from 5 practitioners
Practice locations: Hillsboro, OR; Forest Grove, OR; Aloha, OR

National Provider Directory

National Provider Directory

Locations

13575 SW Millikan Way
Beaverton, OR 97005
Phone (503) 348-1442

4585 SW 185th Ave
Beaverton, OR 97078

4180 SW 185th Ave
Beaverton, OR 97078
Phone (503) 649-4925

395 W Main St
Hillsboro, OR 97123
Phone (503) 213-1302

400 E Main St
Ste 110
Hillsboro, OR 97123
Phone (503) 640-9892

531 S 1st Ave
Hillsboro, OR 97123
Phone (503) 640-9892

144 SE Walnut St
Hillsboro, OR 97123
Phone (503) 640-4959

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1730167982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4585 SW 185TH AVE",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970071557",
            "telephone_number": "503-591-9280",
            "fax_number": "503-848-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4585 SW 185TH AVE",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970071557",
            "telephone_number": "503-591-9280",
            "fax_number": "503-848-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA MENTAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "PUMP",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-591-9280"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261503",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aloha, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.