MR. SCOTT R RUCH (NPI# 1194277814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194277814 |
| Entity Type | Individual |
| Full Name | MR. SCOTT R RUCH |
| Practice Address |
104 Sw. Kinkade Rd Boardman OR 97818 |
| Mailing Address |
P.o. Box 261 Boardman OR 97818 |
| Practice Telephone | 5414812911 |
| Practice Fax Number | 5414812006 |
| Mailing Telephone | 5414812911 |
| Mailing Fax Number | 5414812006 |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
104 SW. KINKADE RD |
| City | BOARDMAN |
| State | OR |
| Zip Code | 97818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178721 | Kaelyn Rose Lindsay | Counselor | 104 Sw Kinkade Ave., Boardman, OR 97818 | 2020-06-12 |
| 1225674807 | Jose James Ortiz Jr. | Counselor | 104 Kinkade Ave, Boardman, OR 97818 | 2019-11-19 |
| 1982149647 | Kymberli Dawn Erevia | Specialist | 104 S. W. Kinkade Road, Boardman, OR 97818 | 2017-01-04 |
| 1144660168 | Cydney M. Morgan | Counselor | 103 Sw Kinkade Rd., Boardman, OR 97818 | 2013-07-05 |
| 1801151121 | Mayra Colin Carrillo | Counselor | 104 S.w. Kinkade Rd., Boardman, OR 97818 | 2012-07-12 |
| 1306103429 | Good Shepherd Medical Service Corp | Pharmacy | 220 S. Main, Boardman, OR 97818 | 2012-04-13 |
| 1437359387 | Emily Dawn Reynolds | Counselor | 104 Sw Kinkade Road, Boardman, OR 97818 | 2007-07-19 |
| 1548485865 | Hayden Family Dentistry Group | Dentist | 300 Tatone, Boardman, OR 97818 | 2007-04-13 |
| 1336294057 | Brandi Nichole Pollick | Counselor | 101 Nw Boardman Ave, Boardman, OR 97818 | 2007-01-24 |
| 1346300159 | Boardman Hardware Inc | Pharmacy | 202 N.w. First, Boardman, OR 97818 | 2006-12-11 |
| Find all providers in zip 97818 | ||||
| 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 |
|---|---|---|---|---|
| 1699039487 | Center for Behavioral Health, Inc | Community/Behavioral Health | 725 Boardman-canfield Rd. Bldg. D, Boardman, OH 44512 | 2012-06-27 |
| 1093257529 | Serenity Center of Youngstown | Community/Behavioral Health | 8440 Market St, Boardman, OH 44512-6702 | 2016-11-15 |
| 1154863975 | Serenity Center of Youngstown | Community/Behavioral Health | 8440 Market St, Boardman, OH 44512-6702 | 2016-11-10 |
| 1396293239 | New Day Recovery, LLC | Community/Behavioral Health | 960 Boardman Canfield Rd, Boardman, OH 44512-4220 | 2016-09-21 |
| 1306234653 | The Knapp Center for Childhood Development | Community/Behavioral Health | 950 Windham Ct Ste 4, Boardman, OH 44512-5083 | 2015-01-08 |
| 1477808640 | Center for Behavioral Health, Inc. | Community/Behavioral Health | 725 Boardman Canfield Rd Ste D, Boardman, OH 44512-4381 | 2012-07-13 |
| 1699052191 | Knapp Center for Childhood Development | Community/Behavioral Health | 950 Windham Ct, Ste 4, Boardman, OH 44512-5083 | 2011-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607464 | Rogue Therapy | Community/Behavioral Health | 328 S Central Ave Ste 213, Medford, OR 97501-7274 | 2020-10-24 |
| 1710586821 | Plum Consulting LLC | Community/Behavioral Health | 1161 Nw Overton St Apt 1501, Portland, OR 97209-2549 | 2020-10-20 |
| 1598375990 | Inspire Wellness Counseling | Community/Behavioral Health | 535 River St, Cave Junction, OR 97523-1170 | 2020-07-31 |
| 1184247850 | Altoris Behavior Support LLC | Community/Behavioral Health | 3880 Se 8th Ave Ste 105, Portland, OR 97202-3772 | 2020-05-28 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1548889272 | Nami of Washington County | Community/Behavioral Health | 18680 Sw Shaw St, Aloha, OR 97078-1250 | 2020-04-13 |
| 1689203515 | New Summit Behavioral Therapy, LLC | Community/Behavioral Health | 1056 Green Acres Rd # 102-360, Eugene, OR 97408-1505 | 2020-04-02 |
| 1033749825 | Erica D. Prince, Phd, LLC | Community/Behavioral Health | 2945 Nw Mulkey Ave, Corvallis, OR 97330-1836 | 2020-01-21 |
| 1578102216 | Act Nw | Community/Behavioral Health | 909 Nw 24th Ave, Portland, OR 97210-3009 | 2019-12-28 |
| 1154969772 | Columbia Community Mental Health | Community/Behavioral Health | 58581 Columbia River Hwy, Saint Helens, OR 97051-3225 | 2019-12-13 |
| Find all providers with the same taxonomy | ||||
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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.