Active NPI
Discovery Practice Management, Inc.
- Adult Mental Health Clinic/Center
- Portland, OR
National Provider Identifier
1760939508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- DISCOVERY PRACTICE MANAGEMENT, INC.
- Practice address
- 16520 SW Upper Boones Ferry Rd Ste 240
Portland, OR 97224-7659 - Phone
- (714) 828-1800
- Fax
- (714) 882-1186
- NPI assigned
- Sep 9, 2016
- 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
- Magdalen Gustilo
- Title
- Director of Payer Relations
- Phone
- (714) 568-7667
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Psychiatric Residential Treatment Facility | 323P00000X |
Addresses
Primary practice location
16520 SW Upper Boones Ferry Rd Ste 240
Portland, OR 97224-7659
Mailing address
18401 Von Karman Ave Ste 500
Irvine, CA 92612-8531
Phone (714) 828-1800
Other names 1
- Center For Discovery, Portland
National Provider Directory
National Provider Directory- Tax ID family
- Discovery Practice Management Inc
Organizations with this tax ID in the same state 2
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Psychiatric Residential Treatment Facility
- Beavercreek, OR
- NPI 1003420407
-
- Psychiatric Residential Treatment Facility
- Portland, OR
- NPI 1134897531
Locations
13221 SW 68th Pkwy
Ste 440
Portland, OR 97223
16520 SW Upper Boones Ferry Rd
Ste 240
Portland, OR 97224
Phone (503) 783-8398
Ownership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Psychiatric Residential Treatment Facility
- Beavercreek, OR
- NPI 1003420407
-
- Psychiatric Residential Treatment Facility
- Portland, OR
- NPI 1134897531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711411200000",
"number": "1760939508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18401 VON KARMAN AVE STE 500",
"city": "IRVINE",
"state": "CA",
"postal_code": "926128531",
"telephone_number": "714-828-1800",
"fax_number": "714-882-1186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16520 SW UPPER BOONES FERRY RD STE 240",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972247659",
"telephone_number": "714-828-1800",
"fax_number": "714-882-1186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISCOVERY PRACTICE MANAGEMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-09",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A",
"authorized_official_last_name": "GUSTILO",
"authorized_official_first_name": "MAGDALEN",
"authorized_official_title_or_position": "DIRECTOR OF PAYER RELATIONS",
"authorized_official_telephone_number": "714-568-7667"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Center For Discovery, Portland",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.