Organization Active NPI

Maya Nair MD LLC

  • Adult Mental Health Clinic/Center
  • Portland, OR
National Provider Identifier
1952824195
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MD177956 Issued in OR
Legal business name
MAYA NAIR MD LLC
Practice address
835 SE Stephens St Ste 201
Portland, OR 97214-4636
Phone
(503) 488-6678
Fax
(503) 200-1168
NPI assigned
Jul 19, 2017
Last updated
Aug 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Authorized official

Name
Maya Leigh Nair, MDNPI 1790042265
Title
Managing Member
Phone
(503) 488-6678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MD177956 OR Primary

Addresses

Primary practice location

835 SE Stephens St Ste 201
Portland, OR 97214-4636

Mailing address

PO Box 11499
Portland, OR 97211-0499
Phone (503) 488-6678

Other practice location 1

325 NW 21st Ave Ste 100
Portland, OR 97209-1179
Phone (503) 488-6678

Other practice location 2

2250 NW Flanders St Ste 306
Portland, OR 97210
Phone (503) 488-6678

Other practice location 3

833 SW 11th Ave Ste 628
Portland, OR 97205-2120
Phone (503) 488-6678

National Provider Directory

National Provider Directory

Locations

2250 NW Flanders St
Ste 306
Portland, OR 97210
Phone (503) 226-0058

833 SW 11th Ave
Ste 628
Portland, OR 97205
Phone (503) 488-6678

835 SE Stephens St
Ste 201
Portland, OR 97214
Phone (503) 488-6678

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1952824195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11499",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972110499",
            "telephone_number": "503-488-6678",
            "fax_number": "503-200-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 SE STEPHENS ST STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144636",
            "telephone_number": "503-488-6678",
            "fax_number": "503-200-1168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 NW 21st Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972091179",
            "country_code": "US",
            "telephone_number": "503-488-6678",
            "fax_number": "503-200-1168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 NW Flanders St Ste 306",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97210",
            "country_code": "US",
            "telephone_number": "503-488-6678",
            "fax_number": "503-200-1168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "833 SW 11th Ave Ste 628",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972052120",
            "country_code": "US",
            "telephone_number": "503-488-6678",
            "fax_number": "503-200-1168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAYA NAIR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "NAIR",
        "authorized_official_first_name": "MAYA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "503-488-6678",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OR",
            "license": "MD177956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.