Peter H Addy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PETER H ADDY LLC

Practice address

6118 SE Belmont St Ste 403
Portland, OR 97215-1983

Phone

(971) 336-4956

Fax

(971) 200-2427

NPI assigned

Sep 22, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Peter H Addy, PHDNPI 1982766648

Title

Owner

Phone

(971) 336-4956

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.

• Peter H Addy, PHD

  • Professional Counselor
  • Portland, OR
  • NPI 1982766648

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666483200000",
    "number": "1902412166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6118 SE BELMONT ST STE 403",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151983",
            "telephone_number": "971-336-4956",
            "fax_number": "971-200-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6118 SE BELMONT ST STE 403",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151983",
            "telephone_number": "971-336-4956",
            "fax_number": "971-200-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER H ADDY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2022-10-23",
        "certification_date": "2022-10-23",
        "status": "A",
        "authorized_official_last_name": "ADDY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-336-4956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Shay Pestka
• Travis Scott Petchell, QMHA-R, PWS
• Aura Petcu, NP
• Julia Peteet
• Bradley James Petek, MD
• Alfred Peter, DC
• David Russell Peter, MD
• Brittany Jones Petering, MD
• Ryan Carl Petering, MD
• Nicholas Peterka, LMT

• All providers in Portland, OR
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2022; 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.