KYLIE SHAY MCDERMOTT (NPI# 1689227704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689227704 |
| Entity Type | Individual |
| Full Name | KYLIE SHAY MCDERMOTT |
| Practice Address |
4105 Se International Way Ste 501 Milwaukie OR 97222-8855 |
| Mailing Address |
14600 Nw Cornell Rd Portland OR 97229-5442 |
| Practice Telephone | 5034963201 |
| Mailing Telephone | 5036453581 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XM0800X |
Occupational Therapist Specialization: Mental Health |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4105 SE INTERNATIONAL WAY STE 501 |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-8855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346490729 | Joshua Allen Furtado | Counselor | 4105 Se International Way Ste 501, Milwaukie, OR 97222-8855 | 2008-09-23 |
| 1356966345 | Matthew Burns | Counselor | 4105 Se International Way Ste 501, Milwaukie, OR 97222-8855 | 2020-06-15 |
| 1861016933 | Melissa Louise Barnett | Case Manager/Care Coordinator | 4105 Se International Way Ste 501, Milwaukie, OR 97222-8855 | 2020-06-03 |
| 1093365256 | Maria Briley | Registered Nurse | 4105 Se International Way Ste 501, Milwaukie, OR 97222-8855 | 2019-09-18 |
| 1376199026 | Anne Agriesti | Case Manager/Care Coordinator | 4105 Se International Way Ste 501, Milwaukie, OR 97222-8855 | 2019-08-16 |
| 1427614346 | Madison Marie Cock | Case Manager/Care Coordinator | 4105 Se International Way Ste 501, Milwaukie, OR 97222-8855 | 2019-05-15 |
| 1942735675 | Kevin Christaldi | Counselor | 4105 Se International Way Ste 501, Milwaukie, OR 97222-8855 | 2017-05-01 |
| 1245777457 | Katie Sichley | Counselor | 4105 Se International Way Ste 501, Milwaukie, OR 97222-8855 | 2017-01-25 |
| 1730532649 | Jason Southmayd | Registered Nurse | 4105 Se International Way Ste 501, Milwaukie, OR 97222-8855 | 2016-07-14 |
| 1417315201 | Cliff Smithers | Peer Specialist | 4105 Se International Way Ste 501, Milwaukie, OR 97222-8855 | 2016-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| Taxonomy Code | 225XM0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Mental Health |
| Occupational therapists provide treatment for people recovering from a mental or physical illness to regain their independence and stability and to engage in normal daily occupations (work, home, family life, school, leisure). Occupational therapists provide particular emphasis on interventions that result in improved quality of life and decrease hospitalization. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Mental Health Occupational Therapist if the applicant meets the following requirements:
|
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606797 | Amanda Kleist | Occupational Therapist | 1390 Se 122nd Ave Ste Ue, Portland, OR 97233-1203 | 2020-10-14 |
| 1205453701 | Rebecca Lee Beckley | Occupational Therapist | 3878 Beverly Ave Ne Bldg H, Salem, OR 97305-1394 | 2020-06-30 |
| 1285135830 | Melanie Sue Wheeler | Occupational Therapist | 3878 Beverly Ave Ne Bldg H, Salem, OR 97305-1394 | 2018-02-27 |
| 1770904203 | Halley Read | Occupational Therapist | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2013-12-31 |
| 1124379078 | Dacia Davison | Occupational Therapist | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2012-10-01 |
| 1134480593 | Marrissa Gottlob | Occupational Therapist | 421 Sw Oak St, Portland, OR 97204-1817 | 2012-06-01 |
| 1629399621 | Cora Faith | Occupational Therapist | 2577 Ne Courtney Dr, Bend, OR 97701-7638 | 2010-06-14 |
| 1821325978 | Sarah Elizabeth Foidel | Occupational Therapist | 1809 Maple St, Forest Grove, OR 97116-1939 | 2009-11-11 |
Please comment or provide details below to improve the information on KYLIE SHAY MCDERMOTT.
| 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.