CHRISTY S KIK (NPI# 1083969950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083969950 |
| Entity Type | Individual |
| Full Name | CHRISTY S KIK |
| Practice Address |
550 River Rd Eugene OR 97404-3212 |
| Mailing Address |
762 Skipper Ave Eugene OR 97404-2239 |
| Practice Telephone | 5417432611 |
| Practice Fax Number | 5418680340 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 219972 | OR | Residential Treatment Facilities |
| Street Address |
550 RIVER RD |
| City | EUGENE |
| State | OR |
| Zip Code | 97404-3212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356988026 | Samuel David Thornton | Social Worker | 550 River Rd, Eugene, OR 97404-3212 | 2019-12-02 |
| 1528612926 | Joanna Berg | Social Worker | 550 River Rd, Eugene, OR 97404-3212 | 2019-07-24 |
| 1295394583 | Lucas Mckean Updike | Counselor | 550 River Rd, Eugene, OR 97404-3212 | 2019-06-10 |
| 1851958136 | Krystle Ann Moxley | Case Manager/Care Coordinator | 550 River Rd, Eugene, OR 97404-3212 | 2019-05-22 |
| 1841761822 | Melissa Tello | Counselor | 550 River Rd, Eugene, OR 97404-3212 | 2018-12-17 |
| 1235619636 | Christopher Robert Almasie | Social Worker | 550 River Rd, Eugene, OR 97404-3212 | 2018-08-16 |
| 1598262446 | Jennifer Christina Lisk | Counselor | 550 River Rd, Eugene, OR 97404-3212 | 2018-04-08 |
| 1962905463 | Martin Allums | Counselor | 550 River Rd, Eugene, OR 97404-3212 | 2018-03-12 |
| 1265930788 | La Toya Le Chete Howell | Counselor | 550 River Rd, Eugene, OR 97404-3212 | 2018-01-30 |
| 1275041683 | Morgan Mae Woodke | Counselor | 550 River Rd, Eugene, OR 97404-3212 | 2018-01-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821503293 | Calvin Daniel Smith | Denturist | 65 Irving Rd, Eugene, OR 97404 | 2017-12-07 |
| 1053838581 | Breann Nicole Martin | Psychologist | 366 Greenfield Ave, Eugene, OR 97404 | 2017-08-25 |
| 1376071464 | Mckenzie Living, Incorporated | Custodial Care Facility | 2621 Lone Oak Way, Eugene, OR 97404 | 2017-06-01 |
| 1205382520 | Gudatu Wotcha | Counselor | 550 River Rd., Eugene, OR 97404 | 2016-08-28 |
| 1750786828 | Orion Emelio | Registered Nurse | 1366 Andersen Ln, Eugene, OR 97404 | 2014-10-30 |
| 1922407634 | Cheyenne Huddleston | Massage Therapist | 48 Irving Rd., Eugene, OR 97404 | 2014-08-19 |
| 1437593258 | Aaron Morgan Varela | Counselor | 348 Ruby Ave., Eugene, OR 97404 | 2013-04-23 |
| 1245579994 | The Eye Center LLC | Ophthalmology | 65 Division Ave Ste E, Eugene, OR 97404 | 2013-01-31 |
| 1073888251 | Zachary Newell | Mechanotherapist | 902 Travis Ave, Eugene, OR 97404 | 2012-03-20 |
| 1225301732 | Spencer Dean Moncur | Counselor | 550 Rivier Road, Eugene, OR 97404 | 2012-02-14 |
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| 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 |
|---|---|---|---|---|
| 1538180716 | Looking Glass Community Services | Psychiatric Residential Treatment Facility | 260 E 11th Ave, Eugene, OR 97401-3247 | 2006-07-22 |
| 1356727689 | Columbiacare Services | Psychiatric Residential Treatment Facility | 2222 Coburg Rd, Eugene, OR 97401-4966 | 2015-08-10 |
| 1134569890 | Mitchell Benjamin Gooch | Psychiatric Residential Treatment Facility | 550 River Rd, Eugene, OR 97404-3212 | 2013-06-26 |
| 1437494747 | Michael Alexander Fishman | Psychiatric Residential Treatment Facility | 550 River Rd, Eugene, OR 97404-3212 | 2012-11-28 |
| 1740553064 | Itensive Treatment Services | Psychiatric Residential Treatment Facility | 550 River Rd, Eugene, OR 97404-3212 | 2012-02-16 |
| 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 |
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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.