Radiant Mind

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RADIANT MIND

Practice address

8638A N Lombard St Ste 3
Portland, OR 97203-3741

Phone

(503) 386-1972

NPI assigned

May 18, 2022

Organization subpart

No

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

Authorized official

Name

Annamarie Harrison

Title

Administrative Assistant

Phone

(503) 386-1972

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Peter Jay Beaman, RN

  • Behavior Technician
  • Portland, OR
  • NPI 1629700984
  NPD

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1760129829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 N CLARENDON AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972031917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8638A N LOMBARD ST STE 3",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972033741",
            "telephone_number": "503-386-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT MIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "ANNAMARIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "503-386-1972"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Malia Radford, RN, MN, NNP-BC
• Nikole Radford, BCBA, LBA
• Latha S Radhakrishnan, MD
• Radiance Integrative Health & Wellness
• Radiant Being Therapy LLC
• Radiation Oncologists PC
• Radical Families, LLC
• Radical Healing Psychotherapy, LLC
• Radical Realness Therapy LLC
• Christina Sahni Radie, ND

• Community/Behavioral Health Agency in Portland, OR
• Providers in Portland, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.