NPIMap

Organization Active NPI

Precision Mental Performance LLC

Doing business as NeuStart Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Salem, OR
National Provider Identifier
1780166116
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PRECISION MENTAL PERFORMANCE LLC
Doing business as
NeuStart Psychiatry
Practice address
2110 Mission St SE Ste 305
Salem, OR 97302-0038
Phone
(503) 379-1902
NPI assigned
Sep 1, 2018
Last updated
Sep 12, 2025By the provider in NPPES
Organization subpart
No

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
Lawrence K Robbins, RN
Title
Owner
Phone
(360) 998-6593

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2110 Mission St SE Ste 305
Salem, OR 97302-0038

Mailing address

2110 Mission St SE Ste 305
Salem, OR 97302-0038
Phone (503) 379-1902

Other practice location 1

222 SE 30th Pl
Portland, OR 97214-1917
Phone (503) 406-1701

Other practice location 2

7110 SW Fir Loop Ste 145
Tigard, OR 97223-8093
Phone (503) 567-9792

Other practice location 3

2700 SE 26th Ave Ste D
Portland, OR 97202-1288
Phone (503) 902-5342

Other names 1

  • NeuStart Psychiatry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190304002804 OR Part B Supplier - Clinic/Group Practice 2062751357 Receives reassigned benefits from 19 practitioners
Practice locations: Salem, OR

National Provider Directory

National Provider Directory
Tax ID family
Neustart Psychiatry4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

189 Liberty St NE
Ste 204
Salem, OR 97301
Phone (503) 379-1902

Practitioners & affiliated clinicians

Practitioners 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1535760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1780166116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 MISSION ST SE STE 305",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973020038",
            "telephone_number": "503-379-1902",
            "fax_number": "503-379-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 MISSION ST SE STE 305",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973020038",
            "telephone_number": "503-379-1902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 SE 30th Pl",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972141917",
            "country_code": "US",
            "telephone_number": "503-406-1701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7110 SW Fir Loop Ste 145",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972238093",
            "country_code": "US",
            "telephone_number": "503-567-9792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 SE 26th Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972021288",
            "country_code": "US",
            "telephone_number": "503-902-5342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRECISION MENTAL PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-01",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-998-6593",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuStart Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, 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.