McCallum Psychiarty LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MCCALLUM PSYCHIARTY LLC

Practice address

14305 SW 112TH Ave
Tigard, OR 97224-3705

Phone

(503) 660-2418

NPI assigned

May 22, 2024

Organization subpart

No

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

Authorized official

Name

Kristi Smith

Title

Admin

Phone

(509) 308-0276

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Courtney Ann McCallum, APRN PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
  • NPI 1538315015
  NPD

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1861231409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15532 SW PACIFIC HWY # 201",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243598",
            "telephone_number": "503-660-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14305 SW 112TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243705",
            "telephone_number": "503-660-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCALLUM PSYCHIARTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "509-308-0276"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie McArthur-Burton, LCSW
• Jenna Lace McBride, OD
• Meagan McBride
• Sarah Nippelle McBride
• Alyssa McCallister, MS, CCC-SLP
• Matt McCally
• Kerry Kathleen McCarthy
• Meghan R McCarthy, PSYD
• Chloe McCaw
• Aaron McChristian

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tigard, OR
• Providers in Tigard, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.