MS. THELISSA D CASLEY (NPI# 1669666061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669666061 |
| Entity Type | Individual |
| Full Name | MS. THELISSA D CASLEY |
| Practice Address |
4818 Ne 101st Ave Portland OR 97220-3319 |
| Practice Telephone | 5037584887 |
| Mailing Telephone | 5037584887 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | OR | Residential Treatment Facilities |
| Street Address |
4818 NE 101ST AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-3319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154758266 | Youth Guidance Association | Residential Treatment Facility, Emotionally Disturbed Children | 2730 Ne Flanders St, Portland, OR 97232-3160 | 2013-10-03 |
| 1306288071 | The Inn, Home for Boys | Residential Treatment Facility, Emotionally Disturbed Children | 8940 Se 72nd Ave, Portland, OR 97206-9417 | 2013-07-23 |
| 1336795905 | Amy North | Residential Treatment Facility, Emotionally Disturbed Children | 11035 Ne Sandy Blvd, Portland, OR 97220-2553 | 2019-08-09 |
| 1710439740 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2016-10-25 |
| 1538570551 | Trillium Family Service | Residential Treatment Facility, Emotionally Disturbed Children | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2014-05-13 |
| 1619395530 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2014-03-29 |
| 1154686632 | Parry Center for Children | Residential Treatment Facility, Emotionally Disturbed Children | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2012-07-10 |
| 1720344450 | Morrison Child & Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2012-04-06 |
| 1760766349 | Jennifer Garcia | Residential Treatment Facility, Emotionally Disturbed Children | 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 | 2011-09-30 |
| 1679800197 | Albertina Kerr Centers | Residential Treatment Facility, Emotionally Disturbed Children | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2009-11-04 |
| Find all providers in PORTLAND | ||||
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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.