KLAMATH CHILD NAD FAMILY TREATMENT CENTER (NPI# 1942632005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942632005 |
| Entity Type | Organization |
| Organization Name | KLAMATH CHILD NAD FAMILY TREATMENT CENTER |
| Other Organization Name | KLAMATH YOUTH DEVELOPMENT CENTER |
| Practice Address |
725 Washburn Way Klamath Falls OR 97603-3648 |
| Mailing Address |
2210 N Eldorado Ave Klamath Falls OR 97601-6418 |
| Practice Telephone | 5418831030 |
| Practice Fax Number | 5418842338 |
| Mailing Telephone | 5418831030 |
| Mailing Fax Number | 5418842338 |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2013-07-31 |
| Authorized Official Name | MRS. LIZ MADDALENA (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 5418831030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 223354 | 05 |
| Other Name | Type Code |
|---|---|
| Klamath Youth Development Center | Doing Business As Name - Organization |
| Street Address |
725 WASHBURN WAY |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97603-3648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336292408 | Diane Putnam | Counselor | 725 Washburn Way, Klamath Falls, OR 97603-3648 | 2007-01-19 |
| 1013393289 | Rebecca Ruth Pierce | Community Health Worker | 725 Washburn Way, Klamath Falls, OR 97603-3648 | 2015-08-10 |
| 1700262326 | Heidi Guajardo | Community Health Worker | 725 Washburn Way, Klamath Falls, OR 97603-3648 | 2015-08-05 |
| 1679959589 | Londa Bowen | Community Health Worker | 725 Washburn Way, Klamath Falls, OR 97603-3648 | 2015-08-03 |
| 1629458021 | William Barnes | Counselor | 725 Washburn Way, Klamath Falls, OR 97603-3648 | 2015-06-02 |
| 1699173971 | Amanda Whitson | Specialist | 725 Washburn Way, Klamath Falls, OR 97603-3648 | 2014-12-18 |
| 1457759110 | Kristi Gallagher | Community Health Worker | 725 Washburn Way, Klamath Falls, OR 97603-3648 | 2014-12-11 |
| 1912334947 | Michele B Medina | Counselor | 725 Washburn Way, Klamath Falls, OR 97603-3648 | 2013-10-04 |
| 1013343565 | Robin Lea Jordan | Licensed Practical Nurse | 725 Washburn Way, Klamath Falls, OR 97603-3648 | 2013-09-16 |
| 1669805263 | Sherri Misiasz | Community Health Worker | 725 Washburn Way, Klamath Falls, OR 97603-3648 | 2013-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790323699 | Mike Hampson | Counselor | 3203 Vandenberg Road, Klamath Falls, OR 97603 | 2019-12-11 |
| 1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
| 1720518392 | Maile Kalus | Counselor | 3647 Or-39, Klamath Falls, OR 97603 | 2017-06-15 |
| 1174067201 | Amber Wu | Audiologist | 4036 S 6th St Ste 3, Klamath Falls, OR 97603 | 2016-12-08 |
| 1568870681 | Nathan William Bailey | Dentist | 2301 Mountain View Blvd, Suite D, Klamath Falls, OR 97603 | 2014-08-01 |
| 1376987784 | Janice Marie Heiney | Denturist | 2607 Crosby Ave, Klamath Falls, OR 97603 | 2013-04-29 |
| 1083958011 | John W Cooper | Denturist | 3949 Shasta Way, Klamath Falls, OR 97603 | 2012-11-15 |
| 1205137742 | Robert Knight | Community Health Worker | 3314 Vandenburg Rd., Klamath Falls, OR 97603 | 2010-11-16 |
| 1841526431 | Tim R Jones | Counselor | 3949 South 6th St, Klamath Falls, OR 97603 | 2009-11-02 |
| 1316135833 | Ernest Thompson O'neal | Emergency Medicine | 211 Arnold Ave. Ste 15, Klamath Falls, OR 97603 | 2007-10-10 |
| Find all providers in zip 97603 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714581 | Elderly and Disabled Services | Psychiatric Residential Treatment Facility | 248 Mace Rd, Medford, OR 97501-1280 | 2020-09-10 |
| 1144761784 | Lifeways, Inc | Psychiatric Residential Treatment Facility | 1212 W Linda Ave, Hermiston, OR 97838-6946 | 2017-03-15 |
| 1679959761 | Candice Ann Hopper | Psychiatric Residential Treatment Facility | 16326 Butteville Rd Ne, Woodburn, OR 97071-8408 | 2015-07-31 |
| 1568883254 | Columbiacare Services | Psychiatric Residential Treatment Facility | 2575 Westgate Bldg F, Pendleton, OR 97801-9613 | 2013-12-23 |
| 1477974293 | Columbiacare Services | Psychiatric Residential Treatment Facility | 2575 Westgate Bldg E, Pendleton, OR 97801-9613 | 2013-12-20 |
| 1235440702 | Trillium Family Services | Psychiatric Residential Treatment Facility | 3009 Nw Grant Pl, Corvallis, OR 97330-1814 | 2010-06-29 |
| 1346494101 | Trillium Family Services | Psychiatric Residential Treatment Facility | 229 Se 4th Ave, Albany, OR 97321 | 2008-11-06 |
| 1881851186 | Columbiacare Services | Psychiatric Residential Treatment Facility | 12501 Se Raymond St, Portland, OR 97236-3931 | 2008-05-22 |
| 1831395375 | Trillium Family Services | Psychiatric Residential Treatment Facility | 2430 Nw Rolling Green Dr, #17, Corvallis, OR 97330-3778 | 2007-06-22 |
| 1962607549 | Children's Farm Home | Psychiatric Residential Treatment Facility | 954 Nw Sycamore Ave, Apt 8, Corvallis, OR 97330-7107 | 2007-06-15 |
| Find all providers with the same taxonomy | ||||
| City | KLAMATH FALLS |
| Zip Code | 97603 |
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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.