AFRICAN YOUTH AND COMMUNITY ORGANIZATION (NPI# 1326649500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326649500 |
| Entity Type | Organization |
| Organization Name | AFRICAN YOUTH AND COMMUNITY ORGANIZATION |
| Practice Address |
1390 Se 122nd Ave Ste Ue Portland OR 97233-1203 |
| Practice Telephone | 9712548916 |
| Mailing Telephone | 9712548916 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | DR. AMANDA KLEIST (HEALTH AND DISABILITIES COORDINATOR) |
| Authorized Official Telephone | 2089140773 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| AYCO | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 432 Ne 74th Ave, Portland, OR 972136312 | 9712548916 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | AFRICAN YOUTH AND COMMUNITY ORGANIZATION | 1390 Se 122nd Ave Ste Ue, Portland, OR 97233 |
| Street Address |
1390 SE 122ND AVE STE UE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97233-1203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606797 | Amanda Kleist | Occupational Therapist | 1390 Se 122nd Ave Ste Ue, Portland, OR 97233-1203 | 2020-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1427573443 | Sunshine Ahc | In Home Supportive Care | 2217 Se 156th Ave, Portland, OR 97233 | 2017-08-10 |
| 1538609433 | Nathaniel Davis Jr. | Counselor | 8915 Se Center St, Tigard, OR 97233 | 2017-02-27 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1023461019 | Julianne Baltzley | Counselor | 2409 Se 149th Avenue, Portland, OR 97233 | 2016-07-14 |
| 1710332143 | Emma Slater | Counselor | 12360 Se Burnside, Portland, OR 97233 | 2016-05-04 |
| 1245621952 | Gregory Brett Bledsoe | Counselor | 1427 Se 182nd Ave., Portland, OR 97233 | 2015-02-17 |
| 1396149852 | Jacqueline Bension | Counselor | 1705 Se 122nd Ave, Portland, OR 97233 | 2014-10-13 |
| 1700206950 | Olga I Zlatova I | Dental Hygienist | 325 Se 154th Ave, Portland, OR 97233 | 2014-04-25 |
| Find all providers in zip 97233 | ||||
| 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 |
|---|---|---|---|---|
| 1710586821 | Plum Consulting LLC | Community/Behavioral Health | 1161 Nw Overton St Apt 1501, Portland, OR 97209-2549 | 2020-10-20 |
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 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 |
| 1578102216 | Act Nw | Community/Behavioral Health | 909 Nw 24th Ave, Portland, OR 97210-3009 | 2019-12-28 |
| 1194284349 | Oriel Offit, Clinical Psychologist, LLC | Community/Behavioral Health | 222 Saint John St Ste 227, Portland, ME 04102-3058 | 2019-03-18 |
| 1396210977 | Ask Counseling LLC | Community/Behavioral Health | 8885 Sw Canyon Rd Ste 108, Portland, OR 97225-3431 | 2018-10-10 |
| 1790260313 | Bernard J. Gordon Md Pa LLC | Community/Behavioral Health | 145 Newbury St Fl 1, Portland, ME 04101-4261 | 2018-09-28 |
| 1497235576 | Saturn Supports LLC | Community/Behavioral Health | 3228 Sw Beaverton Hillsdale Hwy Apt 23, Portland, OR 97239-1193 | 2018-08-17 |
| 1770063067 | Nami Multnomah | Community/Behavioral Health | 524 Ne 52nd Ave, Portland, OR 97213-3047 | 2018-08-16 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on AFRICAN YOUTH AND COMMUNITY ORGANIZATION.
| 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.