NPIMap

Organization Active NPI

University Professional Services

Doing business as OHSU Intercultural Psychiatric Program

  • Adult Mental Health Clinic/Center
  • Portland, OR
National Provider Identifier
1750753687
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
UNIVERSITY PROFESSIONAL SERVICES
Doing business as
OHSU Intercultural Psychiatric Program
Practice address
2525 SW First Ave Ste 1215
Portland, OR 97201-4753
Phone
(503) 494-4222
Fax
(503) 494-6143
NPI assigned
Oct 30, 2015
Last updated
Sep 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY PROFESSIONAL SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Kelly Anne Smith
Title
VP/Enterprise Revenue Cycle
Phone
(503) 494-4422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2525 SW First Ave Ste 1215
Portland, OR 97201-4753

Mailing address

1400 SW 5TH Ave FL 5
Portland, OR 97201-5509
Phone (866) 617-6855

Other names 2

  • OHSU Intercultural Psychiatric Program Doing business as
  • OHSU Intercultural Psychiatry at The Crossing Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080910000013 OR Part B Supplier - Clinic/Group Practice 4880760107 Receives reassigned benefits from 2,434 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
University Professional Services

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

875 Oak St SE
Ste 3040
Salem, OR 97301
Phone (503) 494-4808

Practitioners & affiliated clinicians

Practitioners 508

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 508

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1750753687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SW 5TH AVE FL 5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015509",
            "telephone_number": "866-617-6855",
            "fax_number": "503-346-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 SW FIRST AVE STE 1215",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972014753",
            "telephone_number": "503-494-4222",
            "fax_number": "503-494-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PROFESSIONAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY PROFESSIONAL SERVICES",
        "enumeration_date": "2015-10-30",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "VP/ENTERPRISE REVENUE CYCLE",
        "authorized_official_telephone_number": "503-494-4422"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OHSU Intercultural Psychiatric Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OHSU Intercultural Psychiatric Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OHSU Intercultural Psychiatry at The Crossing",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 12, 2025; 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.