SALAL PSYCHOTHERAPY
NPI 1205413960
Clinic/Center - Adult Mental Health in Portland, OR

Active since March 26, 2021
1732 SE ASH ST, PORTLAND, OR 97214(503) 222-3125 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Salal Psychotherapy NPPES

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

SALAL PSYCHOTHERAPY (NPI 1205413960) is a healthcare organization registered as an adult mental health in Portland, Oregon and active in the NPI registry since March 2021. The organization lists Ruth Sue Gibian, Owner, as its authorized official.

NPPES Registry Identity

NPI1205413960
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameSALAL PSYCHOTHERAPY
Location Address1732 SE ASH STPortland, OR 97214-1526
Mailing Address1732 Se Ash StPortland, OR 97214-1526 · (503) 222-3125
Organization SubpartNo
Authorized OfficialRuth Sue GibianOwner · (503) 222-3125
Enumeration DateMarch 26, 2021
NPPES CertifiedMarch 26, 2021
✔ NPI 1205413960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
1732 SE ASH ST, Portland, OR 97214

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Salal Psychotherapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Salal Psychotherapy, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1669531562
2311 E BURNSIDE ST
Portland, OR 97214
(503) 222-3125
✔ PECOS✔ Accepts Medicare0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Salal Psychotherapy's NPI number?

The NPI number for Salal Psychotherapy is 1205413960. It was assigned to this organization in the NPPES registry on March 26, 2021.

Where is Salal Psychotherapy located?

Salal Psychotherapy is located at 1732 SE Ash St, Portland, OR 97214. The listed phone number is (503) 222-3125.

What is Salal Psychotherapy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Salal Psychotherapy enrolled in Medicare?

Yes. Salal Psychotherapy is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Salal Psychotherapy?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Salal Psychotherapy. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Salal Psychotherapy was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.