NPIMap

Organization Active NPI

Christiecare

  • Psychiatric Residential Treatment Facility
  • Marylhurst, OR
National Provider Identifier
1881637809
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
CHRISTIECARE
Practice address
2507 Christie Dr
Marylhurst, OR 97036
Phone
(503) 635-3416
Fax
(503) 697-6932
NPI assigned
Jun 14, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Deibele Theresa
Title
Finance and Administration Director
Phone
(503) 675-2228

Practitioners 59

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

View all 59

National Provider Directory

National Provider Directory

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X OR
Psychiatric Residential Treatment Facility 323P00000X OR Primary
Child Mental Illness Respite Care 385HR2055X OR

Addresses

NPPES NPI Registry

Primary practice location

2507 Christie Dr
Marylhurst, OR 97036

Mailing address

PO Box 368
Marylhurst, OR 97036-0368
Phone (503) 635-3416

Other names 1

NPPES NPI Registry
  • Christie School Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 9, 2009.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1881637809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "MARYLHURST",
            "state": "OR",
            "postal_code": "970360368",
            "telephone_number": "503-635-3416",
            "fax_number": "503-697-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 CHRISTIE DR",
            "city": "MARYLHURST",
            "state": "OR",
            "postal_code": "97036",
            "telephone_number": "503-635-3416",
            "fax_number": "503-697-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "THERESA",
        "authorized_official_first_name": "DEIBELE",
        "authorized_official_title_or_position": "FINANCE AND ADMINISTRATION DIRECTOR",
        "authorized_official_telephone_number": "503-675-2228"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "OR",
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christie School",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Marylhurst, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.