Individual provider Active NPI

Maya Leigh Nair, MD

  • Psychiatry Physician
  • Portland, OR
National Provider Identifier
1790042265
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
274196 Issued in NY
Practice address
835 SE Stephens St Ste 201
Portland, OR 97214-4636
Phone
(503) 488-6678
Fax
(503) 200-1168
NPI assigned
Apr 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 274196 NY Primary

Addresses

Primary practice location

835 SE Stephens St Ste 201
Portland, OR 97214-4636

Mailing address

PO Box 11499
Portland, OR 97211-0499
Phone (503) 488-6678

Other practice location 1

833 SW 11th Ave Ste 628
Portland, OR 97205-2120
Phone (503) 488-6678

Other practice location 2

3710 SW US Veterans Hospital Rd
V3 - MHC
Portland, OR 97239
Phone (360) 696-4061

Other practice location 3

2250 NW Flanders St Ste 306
Portland, OR 97210-5411
Phone (503) 488-6678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Maya Nair MD LLC CurrentSince Sep 1, 2021 Accepting new patients

Locations

835 SE Stephens St
Ste 201
Portland, OR 97214
Phone (503) 488-6678

2250 NW Flanders St
Ste 306
Portland, OR 97210
Phone (503) 226-0058

833 SW 11th Ave
Ste 628
Portland, OR 97205
Phone (503) 488-6678

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1790042265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11499",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972110499",
            "telephone_number": "503-488-6678",
            "fax_number": "503-200-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 SE STEPHENS ST STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144636",
            "telephone_number": "503-488-6678",
            "fax_number": "503-200-1168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 SW 11th Ave Ste 628",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972052120",
            "country_code": "US",
            "telephone_number": "503-488-6678",
            "fax_number": "503-200-1168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3710 SW US Veterans Hospital Rd",
            "address_2": "V3 - MHC",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97239",
            "country_code": "US",
            "telephone_number": "360-696-4061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 NW Flanders St Ste 306",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972105411",
            "country_code": "US",
            "telephone_number": "503-488-6678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAIR",
        "first_name": "MAYA",
        "middle_name": "LEIGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "274196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 29, 2023; 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.