TELECARE MENTAL HEALTH SERVICES OF OREGON, INC (NPI# 1073601647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073601647 |
| Entity Type | Organization |
| Organization Name | TELECARE MENTAL HEALTH SERVICES OF OREGON, INC |
| Other Organization Name | TELECARE RECOVERY CENTER AT WOODBURN |
| Practice Address |
1605 E Lincoln Rd Woodburn OR 97071-5137 |
| Mailing Address |
1080 Marina Village Pkwy Suite 100 Alameda CA 94501-1078 |
| Practice Telephone | 5039829300 |
| Practice Fax Number | 5039829306 |
| Mailing Telephone | 5103377950 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2017-02-09 |
| Authorized Official Name | LESLIE DAVIS (SVP, CFO) |
| Authorized Official Telephone | 5103377950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Telecare Recovery Center at Woodburn | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659453686 | Telecare Mental Health Services of Oregon, Inc | Community Based Residential Treatment Facility, Mental Illness | 7759 Se 72nd Ave, Portland, OR 97206-7921 | 2006-10-19 |
| 1740378371 | Telecare Mental Health Services of Oregon, Inc | Community Based Residential Treatment Facility, Mental Illness | 4104 Ne Division St, Gresham, OR 97030-4618 | 2006-10-10 |
| 1245624253 | Telecare Mental Health Services of Oregon, Inc | Community Based Residential Treatment Facility, Mental Illness | 805 Se 151st Ave, Portland, OR 97233-2916 | 2015-03-27 |
| 1487853040 | Telecare Mental Health Services of Oregon, Inc | Community Based Residential Treatment Facility, Mental Illness | 1080 Marina Village Pkwy, Suite 100, Alameda, CA 94501-6427 | 2007-07-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | TELECARE MENTAL HEALTH SERVICES OF OREGON, INC. | 1080 Marina Village Parkway Ste 100, Alameda, CA 94501 |
| Street Address |
1605 E LINCOLN RD |
| City | WOODBURN |
| State | OR |
| Zip Code | 97071-5137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674397 | Dylan Jessen | Case Manager/Care Coordinator | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2020-09-17 |
| 1265063374 | Kristy Mae Valencia | Spec/Tech, Health Info | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2020-01-28 |
| 1720644461 | Katrina Reale | Rehabilitation Counselor | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2019-05-17 |
| 1841854700 | Katelyn Prendergast | Registered Nurse | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2019-04-26 |
| 1881166783 | Marisa Bender | Counselor | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2018-12-18 |
| 1750853651 | Donald Ray Bryson | Peer Specialist | 1605 E Lincoln Rd, Woodburn, OR 97071 | 2018-12-18 |
| 1821569872 | Karen G Hernandez | Psychologist | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2018-12-16 |
| 1467922856 | Michael David Jackson | Registered Nurse | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2018-11-28 |
| 1770063729 | Jill M Crittenden | Social Worker | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2018-08-20 |
| 1346727005 | Charlene Dee Dutton | Registered Nurse | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2018-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628839 | Carla Frances Halvorson | Technician | 955 Carol St Apt D, Woodburn, OR 97071 | 2019-09-19 |
| 1851801856 | Angela Hill | Massage Therapist | 564 Ray J Glatt Cirle, Woodburn, OR 97071 | 2017-10-04 |
| 1154713295 | Theresa Donavant-butler | Massage Therapist | 564 Glatt Circle, Woodburn, OR 97071 | 2015-02-26 |
| 1710257878 | Darlene Jost-babin | Counselor | 693 Ray J Glatt Circle, Woodburn, OR 97071 | 2012-01-06 |
| 1932401437 | Marcelino Mauro Vera Ramirez | Chiropractor | 844 Pana Street, Woodburn, OR 97071 | 2010-12-03 |
| 1801110994 | Woodburn Cosmetic & Family Dentistry P.C. | Dentist | 1018 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-18 |
| 1568786911 | Woodburn Dental Group, P.C. | Dentist | 1034 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-15 |
| 1134384985 | Roberto Diaz Camarillo | Counselor | 399 Young Street, Woodburn, OR 97071 | 2008-07-22 |
| 1447431705 | Patricia Eddy | Physical Therapist | 1475 Mt Hood Avenue, Woodburn, OR 97071 | 2007-11-15 |
| 1992926471 | Marquis Physical Therapy & Spine Rehab, PC | Physical Therapist | 2241 Country Club Rd, Woodburn, OR 97071 | 2007-05-01 |
| Find all providers in zip 97071 | ||||
| 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 |
|---|---|---|---|---|
| 1679959761 | Candice Ann Hopper | Psychiatric Residential Treatment Facility | 16326 Butteville Rd Ne, Woodburn, OR 97071-8408 | 2015-07-31 |
| 1871885012 | Telecare Recovery Services | Psychiatric Residential Treatment Facility | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2011-05-05 |
| 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 |
| 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 |
| 1679774418 | Children's Farm Home | Psychiatric Residential Treatment Facility | 4163 Nw Walnut Pl, Corvallis, OR 97330-1036 | 2007-05-30 |
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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.