CLATSOP BEHAVIORAL HEALTHCARE (NPI# 1760833313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760833313 |
| Entity Type | Organization |
| Organization Name | CLATSOP BEHAVIORAL HEALTHCARE |
| Other Organization Name | NORTH COAST RESPITE CENTER |
| Practice Address |
326 Se Marlin Ave Warrenton OR 97146-9624 |
| Mailing Address |
65 N Highway 101 Suite 204 Warrenton OR 97146-9371 |
| Practice Telephone | 5033255722 |
| Practice Fax Number | 5038612043 |
| Mailing Telephone | 5033255722 |
| Mailing Fax Number | 5038612043 |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2018-10-31 |
| Authorized Official Name | DENISE STERRY BABAWALE (INSURANCE BILLING COORDINATOR) |
| Authorized Official Telephone | 5033250241 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLATSOP BEHAVIORAL HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| North Coast Respite Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013925155 | Clatsop Behavioral Healthcare | Counselor | 65 N Hwy 101 Suite 204, Warrenton, OR 97146 | 2006-08-04 |
| 1851796247 | Clatsop Behavioral Healthcare | Clinic/Center | 65 N Highway 101 Ste 204, Warrenton, OR 97146-9371 | 2014-10-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CLATSOP BEHAVIORAL HEALTHCARE | 65 North Hwy 101 Ste 204, Warrenton, OR 97146 |
| Street Address |
326 SE MARLIN AVE |
| City | WARRENTON |
| State | OR |
| Zip Code | 97146-9624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639479983 | Troy Montserrat-gonzales | Counselor | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2010-11-02 |
| 1457961435 | Zachery O'niel Foster | Case Manager/Care Coordinator | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2020-08-05 |
| 1992320790 | Theresa Anne Fattori | Case Manager/Care Coordinator | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2020-06-08 |
| 1659913408 | Ashley Nicole Johnston | Case Manager/Care Coordinator | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2019-10-14 |
| 1346881646 | Sean Joseph Compton | Case Manager/Care Coordinator | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2019-10-08 |
| 1508417304 | Faylene Klatt | Case Manager/Care Coordinator | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2019-09-23 |
| 1407402696 | Michelle Apollon | Case Manager/Care Coordinator | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2019-08-13 |
| 1902450968 | Bryan D Oakley | Case Manager/Care Coordinator | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2019-07-29 |
| 1487214904 | Brett Harrington Mayhew | Counselor | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2019-06-17 |
| 1467015719 | Kaitlin Rose Mullins | Case Manager/Care Coordinator | 326 Se Marlin Ave, Warrenton, OR 97146-9624 | 2019-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629685920 | Alexandroff Dmd PC | Dentist | 1085 E Harbor Drive, Warrenton, OR 97146 | 2020-09-30 |
| 1265080758 | Emily Ann Brennan | Pharmacist | 145 South, Us-101, Warrenton, OR 97146 | 2019-08-28 |
| 1932643475 | Janice Coughlin | Dental Hygienist | 1630 Se Ensign Lane, Warrenton, OR 97146 | 2016-12-16 |
| 1568906477 | Radiant Care Afh 'llc' | Custodial Care Facility | 52 Nw Birch Ct, Warrenton, OR 97146 | 2016-12-12 |
| 1740634468 | Ron Arleigh Tamayo | Pharmacist | 145 Us-101, Attn: Rite Aid, Warrenton, OR 97146 | 2016-04-19 |
| 1053781864 | Kristopher Smith | Counselor | 65 North Highway 101, Suite 204, Warrenton, OR 97146 | 2015-10-06 |
| 1831577196 | Elizabeth Dietrich Erikson | Family Medicine | 1639 Se Ensign Ln Ste B103, Warrenton, OR 97146 | 2015-05-07 |
| 1164774592 | Tuan Anh Trinh | Pharmacist | 1625 E. Harbor Dr., Warrenton, OR 97146 | 2012-10-09 |
| 1366715054 | Suzanne Marie Jagger | Dental Hygienist | 181 Sw Kalmia Ave, Warrenton, OR 97146 | 2012-02-11 |
| 1669705992 | Costco Wholesale Corporation | Pharmacy | 1804 Se Ensign Ln, Warrenton, OR 97146 | 2009-09-18 |
| Find all providers in zip 97146 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770765695 | Perry & Alston's Family Connections | Community Based Residential Treatment Facility, Mental Illness | 136 Isham Rd, Warrenton, NC 27589-8771 | 2007-12-03 |
| 1114109352 | Perry & Alston's Family Connections | Community Based Residential Treatment Facility, Mental Illness | 1486 Dr Martin Luther King Jr Blvd, Warrenton, NC 27589-9169 | 2007-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932059 | Rainrock Treatment Center, LLC | Community Based Residential Treatment Facility, Mental Illness | 2990 Brandywine Dr, West Linn, OR 97068-8313 | 2020-11-06 |
| 1770101545 | Northwest Premier LLC | Community Based Residential Treatment Facility, Mental Illness | 560 W Rose St, Lebanon, OR 97355-2624 | 2020-07-08 |
| 1538793856 | Tamekio Russell | Community Based Residential Treatment Facility, Mental Illness | 2072 Sw Sandlewood Pl, Gresham, OR 97080-9752 | 2020-02-25 |
| 1487290342 | Andrew J Thomas | Community Based Residential Treatment Facility, Mental Illness | 2568 Sw 1st Ave, Ontario, OR 97914-1877 | 2019-11-25 |
| 1760046528 | The Sachiko Group, Inc | Community Based Residential Treatment Facility, Mental Illness | 3517 Sw Wonderview Ave, Gresham, OR 97080-8574 | 2019-04-26 |
| 1831660984 | Olthyme LLC | Community Based Residential Treatment Facility, Mental Illness | 30803 Jeppeson Ln, Hermiston, OR 97838-6222 | 2018-12-16 |
| 1679073712 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 622 57th St, Springfield, OR 97478-6821 | 2018-02-15 |
| 1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
| 1558877407 | Best Care Treatment Services | Community Based Residential Treatment Facility, Mental Illness | 1470 Nw 4th St, Redmond, OR 97756-1366 | 2017-12-14 |
| 1831640192 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 8336 Highway 62, White City, OR 97530 | 2016-10-20 |
| 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.