Geriatric Psychiatry Associates

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD171702 Issued in NU

Legal business name

GERIATRIC PSYCHIATRY ASSOCIATES

Practice address

123 NW 12TH Ave Apt 424
Portland, OR 97209-4145

Phone

(503) 367-3572

NPI assigned

Jun 20, 2018

Last updated

Aug 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kara Noel Wilcox, PA-CNPI 1487867081

Title

Medical Provider

Phone

(503) 212-4243

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Kara Noel Wilcox, PA-C

  • Physician Assistant
  • Eugene, OR
  • NPI 1487867081
  NPD (past) Authorized official
• Catherine Clare Rockwood, M.D.

  • Psychiatry Physician
  • Portland, OR
  • NPI 1649567314
  NPD

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1881188084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17815 SW CHAPARRAL DR",
            "city": "POWELL BUTTE",
            "state": "OR",
            "postal_code": "977530456",
            "telephone_number": "503-212-4243",
            "fax_number": "833-218-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 NW 12TH AVE APT 424",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972094145",
            "telephone_number": "503-367-3572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17815 SW Chaparral Dr",
            "address_purpose": "LOCATION",
            "city": "Powell Butte",
            "state": "OR",
            "postal_code": "977530456",
            "country_code": "US",
            "telephone_number": "503-212-4243",
            "fax_number": "833-218-3122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GERIATRIC PSYCHIATRY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "MEDICAL PROVIDER",
        "authorized_official_telephone_number": "503-212-4243",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": "MD171702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Gerhards
• Michael C Gerhards, DDS
• Kimberly Marie Gerhardt, LPC
• Gerald F Gerhart, DC
• Geriatric Dental Group
• Geriatric Psychiatry Associates Northwest, P.C.
• Askale Gerizher
• Craig Gerke
• Timothy James Gerke, CRNA
• Brandy Gerken, QMHA-I

• Psychiatry Physician in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.