BRADLEY MALLINGER (NPI# 1083186712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083186712 |
| Entity Type | Individual |
| Full Name | BRADLEY MALLINGER |
| Credential | MSW |
| Practice Address |
850 Sw 4th St Madras OR 97741-9628 |
| Mailing Address |
Po Box 1710 Redmond OR 97756-0516 |
| Practice Telephone | 5414756575 |
| Mailing Telephone | 5415164087 |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2018-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
850 SW 4TH ST |
| City | MADRAS |
| State | OR |
| Zip Code | 97741-9628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124366570 | Mosaic Medical | Clinic/Center | 850 Sw 4th St, Suite 101, Madras, OR 97741-9628 | 2013-01-18 |
| 1487263844 | Marina Yancey | Peer Specialist | 850 Sw 4th St, Madras, OR 97741-9628 | 2020-07-30 |
| 1215571500 | Athena Emerson | Counselor | 850 Sw 4th St, Madras, OR 97741-9628 | 2019-10-30 |
| 1033764337 | Michelle Camburn | Counselor | 850 Sw 4th St, Madras, OR 97741-9628 | 2019-08-05 |
| 1750942975 | Amy Caudill | Peer Specialist | 850 Sw 4th St, Madras, OR 97741-9628 | 2019-06-27 |
| 1174188627 | Amanda Wood | Counselor | 850 Sw 4th St, Madras, OR 97741-9628 | 2019-05-09 |
| 1376017400 | Richard Choate | Counselor | 850 Sw 4th St, Madras, OR 97741-9628 | 2019-01-11 |
| 1083181366 | Rpse Sarkkinen | Counselor | 850 Sw 4th St, Madras, OR 97741-9628 | 2018-10-25 |
| 1942775648 | James Hale | Counselor | 850 Sw 4th St, Madras, OR 97741-9628 | 2018-10-09 |
| 1174006191 | Paul Micahel Hillman | Counselor | 850 Sw 4th St, Madras, OR 97741-9628 | 2018-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750868196 | Orie Made | Counselor | 185 Nw D St, Suite D&e, Madras, OR 97741 | 2018-07-27 |
| 1831514603 | Robbin Webber Foster | Social Worker | 470 Ne 'a' St., St. Charles Hospice, Madras, OR 97741 | 2014-03-03 |
| 1184055931 | Sue Lillian Dixon | Nurse Practitioner | 715 S.w. 4th St., Ste.c, Madras, OR 97741 | 2013-12-04 |
| 1255769667 | Aaron Michael Lee | Physician Assistant | 76 N.e. 12th St., Madras, OR 97741 | 2013-10-22 |
| 1114276045 | April A Henselman Campanella | Dental Hygienist | 376 Ne Oak Street, Madras, OR 97741 | 2012-09-06 |
| 1487809091 | Bestcare Treatment Services | Substance Abuse Rehabilitation Facility | 125 Sw C Street, Madras, OR 97741 | 2008-11-24 |
| 1144417437 | Assisted Living Concepts Inc | Assisted Living Facility | 470 Ne Oak Street, Madras, OR 97741 | 2007-10-01 |
| 1518074327 | Janice K Monroe | Nurse Practitioner | 910 Sw Hwy 97, Suite 101, Madras, OR 97741 | 2006-08-25 |
| 1215966759 | Mark M Mullins | Chiropractor | 28 Ne 12th St, Madras, OR 97741 | 2006-06-30 |
| 1356389894 | St. Charles Health System, Inc. | Emergency Medicine | 470 Ne A Street, Madras, OR 97741 | 2006-06-04 |
| Find all providers in zip 97741 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003326562 | Gregory Scott Schlichter | Counselor | 185 Sw D St Ste D&e, Madras, OR 97741-1334 | 2017-10-10 |
| 1033764337 | Michelle Camburn | Counselor | 850 Sw 4th St, Madras, OR 97741-9628 | 2019-08-05 |
| 1174188627 | Amanda Wood | Counselor | 850 Sw 4th St, Madras, OR 97741-9628 | 2019-05-09 |
| 1245716612 | Nancy Moon | Counselor | 850 Sw 4th St, Madras, OR 97741-9628 | 2018-07-18 |
| 1073004750 | Linda Mccoy | Counselor | 850 Sw 4th St, Madras, OR 97741-9628 | 2018-05-29 |
| 1770082000 | James Arata | Counselor | 850 Sw 4th St, Madras, OR 97741-9628 | 2018-02-01 |
| 1558728485 | Michael A Long | Counselor | 390 Se 10th St, Madras, OR 97741 | 2016-01-22 |
| 1982081048 | Michael Mccarthy | Counselor | 125 Sw C St, Madras, OR 97741-1458 | 2015-04-28 |
| 1003224015 | Loretta Arthur | Counselor | 125 Sw C St, Madras, OR 97741-1458 | 2014-07-23 |
| 1609288125 | Sarah Huber | Counselor | 125 Sw C St, Madras, OR 97741-1458 | 2014-06-02 |
| Find all providers in MADRAS | ||||
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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.