PDX-Therapy, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PDX-THERAPY, LLC

Practice address

1020 SW Taylor St Ste 765
Portland, OR 97205-2543

Phone

(503) 512-9198

NPI assigned

Dec 13, 2023

Last updated

Jan 18, 2024By 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

Julie Cavese, PSYD, LPCNPI 1073959052

Title

Owner

Phone

(503) 512-9198

Specialties & licenses 1

Addresses

Other names 3

• Julie Cavese MA LPC Former legal business name
• Julie Cavese, PsyD, LPC Other name
• PDX-THERAPY Other name

Locations

Practitioners 1

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.

• Julie Cavese, PSYD, LPC

  • Mental Health Counselor
  • Portland, OR
  • NPI 1073959052
  NPD Authorized official

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1902674534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 SW HILLSIDE DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972214108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR ST STE 765",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052543",
            "telephone_number": "503-512-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDX-THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "CAVESE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-512-9198",
        "authorized_official_credential": "PSYD, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Julie Cavese MA LPC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Julie Cavese, PsyD, LPC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Julie Cavese, PsyD, LPC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PDX-THERAPY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• PDX Psychotherapy LLC
• PDX Therapy Center
• Jennifer Peace, LMT
• Megan Peace
• Peacehaven Behavioral Center LLC
• Peacehealth Networks on Demand, LLC (ZoomCare- Pearl District)
• Peacehealth Networks on Demand, LLC (ZoomCare- NW Lovejoy)

• 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 Jan 18, 2024; 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.