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HARBORSIDE PSYCHIATRY LLC
NPI 1881404200
Psychiatry & Neurology - Psychiatry in Rogue River, OR

Active since January 08, 2025
213 E. MAIN STREET, ROGUE RIVER, OR 97537(541) 714-5610(541) 714-5611 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Harborside Psychiatry Llc NPPES

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

HARBORSIDE PSYCHIATRY LLC (NPI 1881404200) is a healthcare organization registered as a psychiatry in Rogue River, Oregon and active in the NPI registry since January 2025. The organization lists Kacie Lauren Berry, Owner, as its authorized official.

NPPES Registry Identity

NPI1881404200
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameHARBORSIDE PSYCHIATRY LLC
Location Address213 E. MAIN STREETRogue River, OR 97537-9100
Mailing Address213 E. Main StreetRogue River, OR 97537-9100 · (541) 714-5610 · Fax (541) 714-5611
Phone(541) 714-5610
Fax(541) 714-5611
Organization SubpartNo
Authorized OfficialKacie Lauren BerryOwner · (541) 714-5610
Enumeration DateJanuary 8, 2025
Last NPPES UpdateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1881404200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
213 E. MAIN STREET, Rogue River, OR 97537
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Harborside Psychiatry Llc 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 Harborside Psychiatry LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kacie Berry, NP
Nurse Practitioner
NPI 1225675218
213 E MAIN ST
Rogue River, OR 97537
(541) 714-5610
✔ PECOS✔ Accepts MedicareSame address

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 Harborside Psychiatry LLC's NPI number?

The NPI number for Harborside Psychiatry LLC is 1881404200. It was assigned to this organization in the NPPES registry on January 8, 2025.

Where is Harborside Psychiatry LLC located?

Harborside Psychiatry LLC is located at 213 E. Main Street, Rogue River, OR 97537. The listed phone number is (541) 714-5610.

What is Harborside Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Harborside Psychiatry LLC enrolled in Medicare?

Yes. Harborside Psychiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Harborside Psychiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Harborside Psychiatry LLC. 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.

What insurance does Harborside Psychiatry LLC accept?

Health plans from Moda Health Plan, Inc. list Harborside Psychiatry LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Harborside Psychiatry LLC was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.