Equanimity Care

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

EQUANIMITY CARE

Practice address

4743 Center St NE
Salem, OR 97301-2573

Phone

(815) 814-8529

NPI assigned

Sep 24, 2025

Organization subpart

No

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

Authorized official

Name

Angela Ptak

Title

Owner

Phone

(815) 814-8529

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1952274136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SE MARTIN LUTHER KING JR BLVD APT 1204",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141194",
            "telephone_number": "815-814-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4743 CENTER ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012573",
            "telephone_number": "815-814-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUANIMITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "PTAK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-814-8529"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Entz
• Kiana G Eoas, COTA/L
• Edward Louis Epifani, DMD
• Johanna Eppelsheimer
• Amanda Mae Equall Lacombe, M.A.
• Jessica Ann Erfurt, THW
• Anne Marie Erickson, PMHNP-BC
• Brandon Reed Erickson, MD, FACS
• Candace Erickson
• Christina Erickson

• Mental Illness Community Based Residential Treatment Facility in Salem, OR
• Providers in Salem, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.