PERA PHANICHAYAKARN PSY.D.
NPI 1114339280
Counselor - Mental Health in Saint Helens, OR

Active since May 23, 2014
58646 MCNULTY WAY, SAINT HELENS, OR 97051(503) 397-5211 Get Directions Write a Review

NPPES record last updated: October 4, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Pera Phanichayakarn Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERA PHANICHAYAKARN PSY.D. (NPI 1114339280) is an individual mental health provider in Saint Helens, Oregon and active in the NPI registry since May 2014. He maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1114339280
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NamePERA PHANICHAYAKARNCredential: PSY.D.
Location Address58646 MCNULTY WAYSaint Helens, OR 97051-6210
Mailing AddressPo Box 1234Saint Helens, OR 97051-8234 · (503) 397-5211
Sole ProprietorNo
Enumeration DateMay 23, 2014
Last NPPES UpdateOctober 4, 2018
NPI 1114339280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
58646 MCNULTY WAY, Saint Helens, OR 97051

Secondary Practice Location 1

Location 12905 River Rd SSalem, OR 97302-9754 · Phone (503) 585-3303

Other Identifiers 1

Medicaid500657056OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Peer Specialist
58646 MCNULTY WAY
SAINT HELENS, OR 97051
Counselor (Mental Health)
58646 MCNULTY WAY
SAINT HELENS, OR 97051
Case Manager/Care Coordinator
58646 MCNULTY WAY
SAINT HELENS, OR 97051
Counselor (Mental Health)
58646 MCNULTY WAY
SAINT HELENS, OR 97051
Counselor (Mental Health)
58646 MCNULTY WAY
SAINT HELENS, OR 97051
Case Manager/Care Coordinator
58646 MCNULTY WAY
SAINT HELENS, OR 97051
Registered Nurse
58646 MCNULTY WAY
SAINT HELENS, OR 97051
Counselor (Addiction (Substance Use Disorder))
58646 MCNULTY WAY
SAINT HELENS, OR 97051

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pera Phanichayakarn's NPI number?

The NPI number for Pera Phanichayakarn is 1114339280. It was assigned to this individual provider in the NPPES registry on May 23, 2014.

Where is Pera Phanichayakarn located?

Pera Phanichayakarn practices at 58646 Mcnulty Way, Saint Helens, OR 97051. The listed phone number is (503) 397-5211.

What is Pera Phanichayakarn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Pera Phanichayakarn was last updated on October 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.