OrganizationActive
Sparks Psychiatry, PLLC
NPI 1700677358 · Psychiatric/Mental Health Nurse Practitioner · Beaverton, OR
Provider details
- NPI number
- 1700677358
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jody Pauwels, Owner/Manager(503) 782-5651
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 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
2 documented practice locations
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
1500 Nw Bethany Blvd.
Suite 200
Beaverton, OR 97006
Phone: (503) 782-5651
Street-level locationGet directions
Mailing address
7698 Sw 143rd St
Palmetto Bay, FL 33158-1638
Additional practice locations (1)
- 207 N Fir StSuite 200Sisters, OR 97759Phone: (503) 782-5651
Registry dates
- Enumerated
- 2025-05-14
- Last updated
- 2025-07-02
- Certified
- 2025-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.