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
Last updated
Apr 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2009

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

Authorized official

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

Specialties & licenses 4

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

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

  • Christie School Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 59

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.

View all 59

NPI Registry JSON

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

{
    "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.