PEAK EXPERIENCE, PC (NPI# 1154794832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154794832 |
| Entity Type | Organization |
| Organization Name | PEAK EXPERIENCE, PC |
| Practice Address |
149 Clear Creek Dr Suite 102 Ashland OR 97520-1881 |
| Mailing Address |
552 Beach St Ashland OR 97520-3212 |
| Practice Telephone | 5419514329 |
| Mailing Telephone | 5419514329 |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |
| Authorized Official Name | DR. SCOTT BANDOROFF (PRESIDENT) |
| Authorized Official Telephone | 5419514329 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1120 | OR | Agencies |
| Street Address |
149 CLEAR CREEK DR SUITE 102 |
| City | ASHLAND |
| State | OR |
| Zip Code | 97520-1881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629273586 | Sarah Collard, Ph.d., LLC | Psychologist | 149 Clear Creek Dr, Suite 104, Ashland, OR 97520-1881 | 2007-06-19 |
| 1801096334 | Scott A Bandoroff | Psychologist | 149 Clear Creek Dr, Suite 110, Ashland, OR 97520 | 2007-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390435 | Susan Kathleen Phelps | Massage Therapist | 280 E. Hersey St., Suite B17, Ashland, OR 97520 | 2020-06-08 |
| 1891276101 | William Charles Southworth | Internal Medicine | 866 Blaine St.., Ashland, OR 97520 | 2018-08-24 |
| 1326545625 | Daniel Jordan Decillis | Dentist | 1144 Iowa St Ste A, Ashland, OR 97520 | 2018-04-12 |
| 1730690959 | Eleyah Knight | Acupuncturist | 850 Siskyou Blvd. #6, Ashland, OR 97520 | 2017-10-15 |
| 1881117752 | Elizabeth Kristine Follett | Speech-Language Pathologist | 3265 Biddle Road, Medford, OR 97520 | 2017-07-21 |
| 1457895955 | Graham Collins Inc. | Counselor | 1600 Tolman Creek Rd, Ashland, OR 97520 | 2016-12-19 |
| 1720538010 | Kate Preskenis, Lmt, LLC | Massage Therapist | 823 Siskiyou Blvd., Ashland, OR 97520 | 2016-10-11 |
| 1366899445 | Nadejda Ioana Razi Robertson | Social Worker | 246 Second Street, Ashland, OR 97520 | 2016-05-19 |
| 1225496193 | Teena Summers | Marriage & Family Therapist | 200 Ohio St., Ashland, OR 97520 | 2016-02-05 |
| 1114392016 | Amanda Rose | Doula | 2233 Villard St Apt 203, Ashland, OR 97520 | 2015-12-04 |
| Find all providers in zip 97520 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518446665 | The Heart Studio LLC | Community/Behavioral Health | 291 Oak St, Ashland, OR 97520-1805 | 2018-08-09 |
| 1013467174 | People's Art Creative Arts Therapies, LLC | Community/Behavioral Health | 459 Willow St, Ashland, OR 97520-1133 | 2016-10-12 |
| 1528420775 | Ada M. Gallup Counseling | Community/Behavioral Health | 202 Amanda Dr, Ashland, MO 65010-1201 | 2016-03-27 |
| 1477939155 | Hand of Hope | Community/Behavioral Health | 1212 Bath Ave Ste 101, Ashland, KY 41101-9003 | 2015-08-05 |
| 1952784027 | Caring Hearts, Inc. | Community/Behavioral Health | 11218 Hill Ridge Ct, Ashland, VA 23005-1275 | 2015-07-07 |
| 1417228594 | A Brighter Future | Community/Behavioral Health | 214 15th St, Ashland, KY 41101-7624 | 2012-01-20 |
| 1720215734 | Family Preservation Services, Inc | Community/Behavioral Health | 310 S James St, Ashland, VA 23005-1925 | 2009-06-17 |
| 1134379704 | Northland Counseling Services Ltd | Community/Behavioral Health | 1619 West 3rd St, Ashland, WI 54806-1114 | 2008-09-19 |
| 1598941080 | A. Fox Services, LLC | Community/Behavioral Health | 19 W Main St Ste 16, Ashland, OH 44805-2282 | 2008-01-14 |
| 1023298395 | Catholic Charities Corporation | Community/Behavioral Health | 34 W 2nd St, Ashland, OH 44805-2201 | 2007-11-05 |
| Find all providers in ASHLAND | ||||
Please comment or provide details below to improve the information on PEAK EXPERIENCE, PC.
| 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.