FULL CIRCLE HEALING (NPI# 1497083547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497083547 |
| Entity Type | Organization |
| Organization Name | FULL CIRCLE HEALING |
| Practice Address |
905 Main St Suite 211 Klamath Falls OR 97601-5810 |
| Practice Telephone | 5418846004 |
| Practice Fax Number | 5418846004 |
| Mailing Telephone | 5418846004 |
| Mailing Fax Number | 5418846004 |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2009-12-01 |
| Authorized Official Name | MR. FABRICE WILLIAM DOLCE (OWNER) |
| Authorized Official Telephone | 5418846004 |
| Authorized Official Credential | CADC1 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 252Y00000X | Early Intervention Provider Agency | 07-06-73U3 | OR | Agencies |
| Y | 251S00000X | Community/Behavioral Health | 07-06-73U3 | OR | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851616585 | Full Circle Healing | Community/Behavioral Health | 905 Main St Ste 211, Klamath Falls, OR 97601-6066 | 2010-04-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | FULL CIRCLE HEALING ARTS | 60643 Sunday Dr, Cove, OR 97824 |
| Vermont Business Registrations | FULL CIRCLE HEALING ARTS, LLC | 452 Levesque Dr, Hyde Park, VT 05655 |
| Oregon Corporations, Companies and Business Names | FULL CIRCLE HEALING KLAMATH FALLS | 905 Main St Ste 409, Klamath Falls, OR 97601 |
| Connecticut Business Registrations | FULL CIRCLE HEALING LLC | 16 Randall Court, Middletown, CT 06457 |
| Connecticut Business Registrations | FULL CIRCLE HEALING MASSAGE, LLC | 172 Old Sib Road, Ridgefield, CT 06877 |
| Oregon Corporations, Companies and Business Names | FULL CIRCLE HEALING OF EUGENE | 150 Shelton Mcmurphey Blvd Ste 203, Eugene, OR 97401 |
| Oregon Corporations, Companies and Business Names | FULL CIRCLE HEALING TOO INCORPORATED | 905 Main St Ste 409, Klamath Falls, OR 97601 |
| Street Address |
905 MAIN ST SUITE 211 |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97601-5810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457968562 | Charlene Dobry | Student in an Organized Health Care Education/Training Program | 905 Main St, Klamath Falls, OR 97601-5831 | 2020-09-23 |
| 1013432038 | Sunnybrook Counseling | Counselor | 905 Main St, Suite 508, Klamath Falls, OR 97601 | 2017-08-10 |
| 1750778874 | Fabrice Dolce | Counselor | 905 Main St, Suite 409, Klamath Falls, OR 97601-5831 | 2015-04-16 |
| 1780837930 | Julia Jackman | Mechanotherapist | 905 Main St, Suite 615, Klamath Falls, OR 97601-5810 | 2008-11-01 |
| 1952592834 | John A Longeway | Nurse Practitioner | 905 Main St, Suite 615, Klamath Falls, OR 97601-5810 | 2007-08-06 |
| 1164621355 | Kay Lund, Rd, Cde, LLC | Dietitian, Registered | 905 Main St, Suite 602, Klamath Falls, OR 97601-5810 | 2007-07-17 |
| 1912039975 | Peter Eugene Calvo | Psychologist | 905 Main St, Suite 211, Klamath Falls, OR 97601-5810 | 2007-03-12 |
| 1235298431 | Ann Oldham Michael | Chiropractor | 905 Main St, Suite 613, Klamath Falls, OR 97601-5810 | 2006-12-06 |
| 1407936230 | Arthur Robert Belsky | Dentist | 905 Main St, Suite 307, Klamath Falls, OR 97601 | 2006-10-16 |
| 1659304459 | Ralph Parker Eccles | Family Medicine | 905 Main St, Suite 204, Klamath Falls, OR 97601-6066 | 2006-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487311 | Socorro Guadalupe Alcala- Peres | Case Manager/Care Coordinator | 2210 N El Dorado Ave, Klamath Falls, OR 97601 | 2019-09-20 |
| 1033760053 | Melissa Ann Roy | Counselor | 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 | 2019-09-20 |
| 1134699721 | Kristin Asta Ragnarsson | Speech-Language Pathologist | Plum Ridge Care 1401 Bryant Williams, Klamath Falls, OR 97601 | 2018-11-27 |
| 1730667445 | Nancy Leota Baley | Pharmacist | Sky Lakes Outpatient Pharmacy, 2865 Daggett Street, Klamath Falls, OR 97601 | 2018-08-03 |
| 1336511260 | Patricia Blauvelt | Occupational Therapy Assistant | 1401 Bryant Williams Dr, Klamath Falls, OR 97601 | 2015-10-30 |
| 1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
| 1134472582 | Whole Person Care Family Practice | Family Medicine | 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 | 2012-10-23 |
| 1255692687 | Billy Dean Vermaas | Physical Medicine & Rehabilitation | 204 N. 10th Street, Klamath Falls, OR 97601 | 2012-06-01 |
| 1407140700 | Wendell C Heidinger Md | Family Medicine | 2301 Clairmont Drive, Klamath Falls, OR 97601 | 2011-06-03 |
| 1740573146 | Klamath Youh Department Center | Community/Behavioral Health | 2210 Eldordo Ave, Klamath Falls, OR 97601 | 2011-05-18 |
| Find all providers in zip 97601 | ||||
| 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 |
|---|---|---|---|---|
| 1740573146 | Klamath Youh Department Center | Community/Behavioral Health | 2210 Eldordo Ave, Klamath Falls, OR 97601 | 2011-05-18 |
| 1851616585 | Full Circle Healing | Community/Behavioral Health | 905 Main St Ste 211, Klamath Falls, OR 97601-6066 | 2010-04-06 |
| 1073750048 | Best Care Treatment Services | Community/Behavioral Health | 5160 Summers Ln, Klamath Falls, OR 97603-8248 | 2009-01-13 |
| 1962038901 | Siskiyou Counseling | Community/Behavioral Health | 325 S 5th St, Klamath Falls, OR 97601-6107 | 2020-03-22 |
| 1295218063 | Candice Phyllis Love Shidler | Community/Behavioral Health | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2018-09-07 |
| 1003328543 | Brittania Nicole Welch | Community/Behavioral Health | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2017-10-24 |
| 1366953226 | Stacie Lynn Fanelli | Community/Behavioral Health | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2017-10-18 |
| 1922479005 | Kyle R Johnson | Community/Behavioral Health | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2015-10-14 |
| 1861863409 | Klamath Child and Family Treatment Center | Community/Behavioral Health | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2015-10-08 |
| 1578991709 | Klamath Youth Development Center | Community/Behavioral Health | 2210 N Eldorado Ave, Klamath Falls, OR 97601 | 2013-10-25 |
| Find all providers in KLAMATH FALLS | ||||
| City | KLAMATH FALLS |
| Zip Code | 97601 |
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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.