BRAIN INJURY BEHAVIORAL SUPPORT CONCEPTS, INC,
Clinic/Center (Adult Mental Health)

Address: 8000 Sw Greenhouse Ln, Portland, OR 97225-3869

BRAIN INJURY BEHAVIORAL SUPPORT CONCEPTS, INC, (NPI# 1962089755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962089755
Entity Type Organization
Organization Name BRAIN INJURY BEHAVIORAL SUPPORT CONCEPTS, INC,
Practice Address 8000 Sw Greenhouse Ln
Portland
OR 97225-3869
Practice Telephone 5032004057
Practice Fax Number 5032001400
Mailing Address 8000 Sw Greenhouse Ln
Portland
OR 97225-3869
Mailing Telephone 5032004057
Mailing Fax Number 5032001400
Certification Date 2021-03-26
Enumeration Date 2021-03-26
Last Update Date 2021-03-26
Authorized Official Telephone 5032004057
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Opportunity House Doing Business As Name

Office Location

Street Address 8000 SW GREENHOUSE LN
City PORTLAND
State OR
Zip Code 97225-3869

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194230870 Direct Nursing Services LLC Home Health 8040 Sw Greenhouse Ln, Portland, OR 97225-3869 2017-12-04

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NPI Name Taxonomy Address Enumeration
1508425034 Gabrielle Gonzales Behavior Technician 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 2019-06-08
1558844555 Tate Roseberry Behavior Technician 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 2018-09-14
1982186300 Dean Alan Hopkins Registered Nurse - Registered Nurse First Assistant 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 2018-09-01
1316449168 Surgery Center At St. Vincent, LLC · East Pavilion Surgery Center Clinic/Center - Ambulatory Surgical 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 2018-03-07
1629585484 Denise Ellen Foster · Denise Foster Walkey Registered Nurse - Administrator 5225 Sw Dover Ln, Portland, OR 97225-1022 2018-01-03
1326629023 Kerri Holler Massage Therapist 6645 Sw Terri Ct Apt 41, Portland, OR 97225-1054 2021-04-15
1477130110 Saori Tanaka Naturopath 5125 Sw Scholls Ferry Rd Apt 51, Portland, OR 97225-1665 2021-03-27
1487152336 Hd Industries, LLC · Home Instead Senior Care In Home Supportive Care 4850 Sw Scholls Ferry Rd Ste 302, Portland, OR 97225-1696 2018-01-25
1023601028 Hasina Renee J Cohen Acupuncturist 4852 Sw Scholls Ferry Rd, Portland, OR 97225-1698 2021-02-19
1235614504 Christine Rose Adriano Walty Chiropractor 8225 Sw Apple Way Ste 100, Portland, OR 97225-1783 2018-10-02
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134711252 Golden Field Wellness, LLC Clinic/Center - Adult Mental Health 6118 Se Belmont St Ste 401, Portland, OR 97215-1983 2021-02-10
1982295549 Northwest Forensic Institute Clinic/Center - Adult Mental Health 520 Sw Yamhill St Ste 428, Portland, OR 97204-1327 2021-01-27
1275123762 Spectrum Counseling LLC Clinic/Center - Adult Mental Health 709 Sw 16th Ave Unit 206, Portland, OR 97205-1833 2021-01-19
1851999841 Laura Gottfried Lcsw Inc. Clinic/Center - Adult Mental Health 145 Newbury St Ste 2, Portland, ME 04101-4261 2020-10-13
1265039564 Embodied Life Therapy Center LLC Clinic/Center - Adult Mental Health 6906 N Richards St, Portland, OR 97203-6138 2020-10-08
1720685696 Pragmatic Healing LLC Clinic/Center - Adult Mental Health 3930 Sw Plum St Apt 1, Portland, OR 97219-6046 2020-10-05
1073139713 Andrew J Hughes Md Clinic/Center - Adult Mental Health 325 Nw 21st Ave Ste 100, Portland, OR 97209-1179 2020-06-18
1467086215 Deborah Ann Jewell Clinic/Center - Adult Mental Health 5627 Ne Simpson St, Portland, OR 97218-2329 2020-03-01
1023649621 Dani Fazio Psychotherapy LLC Clinic/Center - Adult Mental Health 57 Exchange St Ste 203, Portland, ME 04101-5000 2020-02-01
1164981379 Willamette Family Counseling Center Clinic/Center - Adult Mental Health 7420 Sw Garden Home Rd, Portland, OR 97223-9599 2019-03-18
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City PORTLAND
Zip Code 97225

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.