PATRICK CLANCY (NPI# 1073048377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073048377 |
| Entity Type | Individual |
| Full Name | PATRICK CLANCY |
| Credential | CRM |
| Practice Address |
3321 Harold Dr Ne Salem OR 97305-1339 |
| Practice Telephone | 5033995597 |
| Mailing Telephone | 5033995597 |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16CRM077 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699205336 | Patrick T Clancy | Dentist | 11904 W North Ave Ste 105, Wauwatosa, WI 53226-2062 | 2017-06-15 |
| 1508291899 | Patrick Clancy | Pharmacist | 461 Nott St, Schenectady, NY 12308-1812 | 2013-09-05 |
| 1740381128 | Patrick T Clancy | Ophthalmology | 44 Godwin Ave, Midland Park, NJ 07432-1969 | 2006-09-26 |
| Street Address |
3321 HAROLD DR NE |
| City | SALEM |
| State | OR |
| Zip Code | 97305-1339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114967817 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 3321 Harold Dr Ne, Salem, OR 97305-1339 | 2006-06-08 |
| 1215549472 | Adrienne Wicker | Counselor | 3321 Harold Dr Ne, Salem, OR 97305-1339 | 2020-08-19 |
| 1619516630 | April Bell | Peer Specialist | 3321 Harold Dr Ne, Salem, OR 97305-1339 | 2019-12-23 |
| 1164996278 | Jacob Thomas Vida | Counselor | 3321 Harold Dr Ne, Salem, OR 97305-1339 | 2019-01-11 |
| 1467989566 | Amber M Schehl | Peer Specialist | 3321 Harold Dr Ne, Salem, OR 97305-1339 | 2017-05-19 |
| 1730635608 | Bridgeway Recovery Services | Substance Abuse Rehabilitation Facility | 3321 Harold Dr Ne, Salem, OR 97305-1339 | 2016-08-30 |
| 1346793676 | Marcus Patterson | Counselor | 3321 Harold Dr Ne, Salem, OR 97305-1339 | 2016-08-03 |
| 1225487127 | Josh Lair | Counselor | 3321 Harold Dr Ne, Salem, OR 97305-1339 | 2016-06-10 |
| 1699930248 | Daniel Karl Smith | Counselor | 3321 Harold Dr Ne, Salem, OR 97305-1339 | 2008-07-23 |
| 1811172315 | Rosanna Hamilton | Adult Companion | 3321 Harold Dr Ne, Salem, OR 97305-1339 | 2008-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
| 1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
| 1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
| 1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
| 1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
| 1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
| 1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
| 1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
| Find all providers in zip 97305 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978880 | Deirdre Jean Miller | Counselor | 1101 N Jim Day Rd Ste 109, Salem, IN 47167-5201 | 2020-10-01 |
| 1134736168 | Melissa Thi Lu | Counselor | 2045 Silverton Rd Ne Ste 2100, Salem, OR 97301-0100 | 2020-09-24 |
| 1841805959 | Korben J Chesnut-petry | Counselor | 1325 Commercial St Se, Salem, OR 97302-4205 | 2020-09-15 |
| 1598383846 | Jorge Montejano | Counselor | 223 Commercial St Ne, Salem, OR 97301-3411 | 2020-07-13 |
| 1154956837 | Bobbie J Dawson | Counselor | 215 Barrs Ln, C/o Dawson, Salem, WV 26426-6224 | 2020-03-03 |
| 1902457773 | Jorge Arredondo | Counselor | 16 Heritage Dr Apt 15, Salem, MA 01970-2034 | 2019-09-24 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659866911 | Chakra LLC | Counselor | 161 High St Se Ste 209, Salem, OR 97301-3693 | 2018-06-28 |
| 1346731114 | Robert Bathke | Counselor | 525 Ferry St Se Ste 203, Salem, OR 97301-3743 | 2018-05-28 |
| 1316453186 | Melody Sue Nova | Counselor | 2045 Silverton Rd Ne Ste A, Salem, OR 97301-0100 | 2017-12-15 |
| Find all providers in SALEM | ||||
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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.