Pacific Bipolar Treatment Program

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PACIFIC BIPOLAR TREATMENT PROGRAM

Doing business as

Shelly B Getzlaf, PhD

Practice address

1675 SW Marlow Ave
Suite 305
Portland, OR 97225-5104

Phone

(503) 646-4664

Fax

(503) 521-7041

NPI assigned

Dec 16, 2015

Last updated

Dec 16, 2015By 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

Shelly B Getzlaf, PHDNPI 1760544571

Title

Owner

Phone

(503) 646-4664

Specialties & licenses 1

Addresses

Other names 1

• Shelly B Getzlaf, PhD Doing business as

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.

• Shelly Bernard Getzlaf, PH.D.

  • Clinical Psychologist
  • Portland, OR
  • NPI 1760544571
  NPD (past) Authorized official
• Lee S. Drucker, PSY.D.

  • Clinical Psychologist
  • Portland, OR
  • NPI 1184756769
  NPD (past)

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1891150983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 SW MARLOW AVE",
            "address_2": "SUITE 305",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255104",
            "telephone_number": "503-646-4664",
            "fax_number": "503-521-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 SW MARLOW AVE",
            "address_2": "SUITE 305",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255104",
            "telephone_number": "503-646-4664",
            "fax_number": "503-521-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC BIPOLAR TREATMENT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "GETZLAF",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-646-4664",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelly B Getzlaf, PhD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcelo Danger Pacheco, CHW
• Mario Casey Pacheco, MD
• Michaela Pachelli
• Haley Alison Pacholec, FNP-C
• Pacific Audiology Clinic, LLC
• Pacific Center for Mind and Health LLC
• Pacific Chiropractic & Wellness Center, LLC
• Pacific Chiropractic Group P.C.
• Pacific Clinic of Natural Medicine
• Pacific Coast Healthcare Education LLC

• Adult Mental Health Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Adult Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.