DISCOVERY PRACTICE MANAGEMENT, INC. (NPI# 1003420407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003420407 |
| Entity Type | Organization |
| Organization Name | DISCOVERY PRACTICE MANAGEMENT, INC. |
| Practice Address |
19824 S Butte Rd Beavercreek OR 97004-8847 |
| Mailing Address |
4281 Katella Ave Ste 111 Los Alamitos CA 90720-3588 |
| Practice Telephone | 5033600333 |
| Mailing Telephone | 7148281800 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | NATALIE BRYANT (DIR OF BUSINESS DEVELOPMENT) |
| Authorized Official Telephone | 5625884722 |
| Is Organization Subpart | Y |
| Parent Organization Name | DISCOVERY PRACTICE MANAGEMENT, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Discovery Mood & Anxiety Program, Beavercreek | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726346 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 2009 Saint Stephens Woods Dr, Crownsville, MD 21032-2200 | 2020-07-01 |
| 1992322598 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 4700 Monterey Dr, Annandale, VA 22003-5927 | 2020-06-30 |
| 1174166607 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 27708 Jefferson Ave Ste 101, Temecula, CA 92590-2641 | 2019-10-28 |
| 1457994295 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 11205 Bonham Ranch Rd, Dripping Springs, TX 78620-5123 | 2019-10-24 |
| 1811530645 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 3390 Peachtree Rd Ne Ste 1150, Atlanta, GA 30326-2821 | 2019-10-24 |
| 1134762008 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 27708 Jefferson Ave Ste 103, Temecula, CA 92590-2641 | 2019-10-23 |
| 1073168431 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 151 Southhall Ln Ste 165, Maitland, FL 32751-7486 | 2019-08-02 |
| 1841850476 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 1400 E Touhy Ave # 300a, Des Plaines, IL 60018-3305 | 2019-06-17 |
| 1831759653 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 1400 E Touhy Ave # 300b, Des Plaines, IL 60018-3305 | 2019-06-14 |
| 1144788522 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 929 Newfield Ave, Stamford, CT 06905-2520 | 2019-03-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | DISCOVERY PRACTICE MANAGEMENT, INC. | 28 Liberty Street, New York, New York 10005 |
| Oregon Corporations, Companies and Business Names | DISCOVERY PRACTICE MANAGEMENT, INC. | 4281 Katella Avenue, Suite 111, Los Alamitos, CA 90720 |
| Connecticut Business Registrations | DISCOVERY PRACTICE MANAGEMENT, INC. | 4281 Katella Ave., Suite 111, Los Alamitos, CA 90720 |
| Colorado Business Entities | Discovery Practice Management, Inc. | 4281 Katella Avenue, Suite 111, Los Alamitos, CA 90720 |
| Washington State Corporations | DISCOVERY PRACTICE MANAGEMENT, INC. | 4281 Katella Avenue, Suite 111, Los Alamitos, CA 90720 |
| Street Address |
19824 S BUTTE RD |
| City | BEAVERCREEK |
| State | OR |
| Zip Code | 97004-8847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376701888 | Vicki Lynn Miracle | Registered Nurse | 19824 S Butte Rd, Beavercreek, OR 97004-8847 | 2008-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003234253 | At Your Door Dental | Dental Hygienist | 25150 S. Larkin Rd., Beavercreek, OR 97004 | 2014-04-04 |
| 1538516331 | Deanna Lea Way | Registered Nurse | 22062 S Ferguson Rd, Beavercreek, OR 97004-7625 | 2016-05-21 |
| 1528171923 | Graham Douglas Shea | Dentist | 21072 S Mountain Meadow Rd, Beavercreek, OR 97004-7699 | 2006-08-17 |
| 1962540310 | Laura Ann Shattuck | Nurse Practitioner | 21440 S Upper Highland Rd, Beavercreek, OR 97004-8814 | 2007-02-01 |
| 1811200108 | Greg Glenn Gill Jr. | Counselor | 25915 S Fallsview Rd, Beavercreek, OR 97004-9638 | 2010-07-15 |
| 1033345038 | Laura Bartko | Advanced Practice Midwife | 23841 S Fellows Rd, Beavercreek, OR 97004-9726 | 2009-06-03 |
| 1902043748 | Deborah Frances | Naturopath | 25884 S Beeson Rd, Beavercreek, OR 97004-9748 | 2009-01-15 |
| 1710181425 | Karen Zondervan | Counselor | 25003 S Beeson Rd, Beavercreek, OR 97004-9783 | 2007-06-14 |
| 1619532884 | Taylor Alysa Pottratz | Student in an Organized Health Care Education/Training Program | 21410 S Levi Rd, Beavercreek, OR 97004-9792 | 2019-05-03 |
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714581 | Elderly and Disabled Services | Psychiatric Residential Treatment Facility | 248 Mace Rd, Medford, OR 97501-1280 | 2020-09-10 |
| 1144761784 | Lifeways, Inc | Psychiatric Residential Treatment Facility | 1212 W Linda Ave, Hermiston, OR 97838-6946 | 2017-03-15 |
| 1679959761 | Candice Ann Hopper | Psychiatric Residential Treatment Facility | 16326 Butteville Rd Ne, Woodburn, OR 97071-8408 | 2015-07-31 |
| 1568883254 | Columbiacare Services | Psychiatric Residential Treatment Facility | 2575 Westgate Bldg F, Pendleton, OR 97801-9613 | 2013-12-23 |
| 1477974293 | Columbiacare Services | Psychiatric Residential Treatment Facility | 2575 Westgate Bldg E, Pendleton, OR 97801-9613 | 2013-12-20 |
| 1235440702 | Trillium Family Services | Psychiatric Residential Treatment Facility | 3009 Nw Grant Pl, Corvallis, OR 97330-1814 | 2010-06-29 |
| 1346494101 | Trillium Family Services | Psychiatric Residential Treatment Facility | 229 Se 4th Ave, Albany, OR 97321 | 2008-11-06 |
| 1881851186 | Columbiacare Services | Psychiatric Residential Treatment Facility | 12501 Se Raymond St, Portland, OR 97236-3931 | 2008-05-22 |
| 1831395375 | Trillium Family Services | Psychiatric Residential Treatment Facility | 2430 Nw Rolling Green Dr, #17, Corvallis, OR 97330-3778 | 2007-06-22 |
| 1962607549 | Children's Farm Home | Psychiatric Residential Treatment Facility | 954 Nw Sycamore Ave, Apt 8, Corvallis, OR 97330-7107 | 2007-06-15 |
| Find all providers with the same taxonomy | ||||
| City | BEAVERCREEK |
| Zip Code | 97004 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.