OrganizationActive
Soul Push LLC
NPI 1598658387 · Adult Mental Health Clinic/Center · Salem, OR
Provider details
- NPI number
- 1598658387
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ali Farhan, Owner(605) 824-8659
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1038 Broadway St Ne
Salem, OR 97301-1276
Phone: (605) 824-8659
Street-level locationGet directions
Mailing address
1038 Broadway St Ne
Salem, OR 97301-1276
Other names (DBA / former)
- Doing business as
- Soul Push LLC
Registry dates
- Enumerated
- 2025-05-30
- Last updated
- 2025-05-30
- Certified
- 2025-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.