NPIMap

Organization Active NPI

Psychiatrist on-Call, LLC

  • Psychiatry Physician
  • Beaverton, OR
National Provider Identifier
1841772233
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD165076 Issued in OR
Legal business name
PSYCHIATRIST ON-CALL, LLC
Practice address
12655 SW Center St Ste 150
Beaverton, OR 97005-1864
Phone
(503) 832-0945
NPI assigned
Aug 31, 2018
Last updated
Aug 31, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
SIMAS HOLDING, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Authorized official

Name
Gilbert M. Simas, MDNPI 1497802383
Title
Manager
Phone
(503) 880-6414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD165076 OR Primary

Addresses

Primary practice location

12655 SW Center St Ste 150
Beaverton, OR 97005-1864

Mailing address

12655 SW Center St Ste 150
Beaverton, OR 97005-1864
Phone (503) 832-0945

National Provider Directory

National Provider Directory
Tax ID family
Center of Excellence in Co-Occurring Medicine2 organizations share this tax ID, including this one
Part of
Center of Excellence in Co-Occurring Medicine

Other organizations with this tax ID 1

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

Locations

12655 SW Center St
Ste 150
Beaverton, OR 97005
Phone (503) 832-0945

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1841772233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12655 SW CENTER ST STE 150",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051864",
            "telephone_number": "503-832-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12655 SW CENTER ST STE 150",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051864",
            "telephone_number": "503-832-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIST ON-CALL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIMAS HOLDING, INC.",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "SIMAS",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-880-6414",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD165076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.