RECLAIM CLINIC (NPI# 1225593197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225593197 |
| Entity Type | Organization |
| Organization Name | RECLAIM CLINIC |
| Practice Address |
446 Villa Rd Newberg OR 97132-1856 |
| Mailing Address |
470 N Villa Rd Newberg OR 97132-1858 |
| Practice Telephone | 5034061009 |
| Mailing Telephone | 5034061009 |
| Mailing Fax Number | 5032002975 |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2020-03-06 |
| Authorized Official Name | KATIE S NICOSIA (OWNER) |
| Authorized Official Telephone | 5034061009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
446 VILLA RD |
| City | NEWBERG |
| State | OR |
| Zip Code | 97132-1856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427309152 | Vanessa L Little | Counselor | 446 Villa Rd, Newberg, OR 97132-1856 | 2012-09-20 |
| 1063042141 | Life Puzzle Counseling, Inc. | Clinic/Center | 446 Villa Rd, Newberg, OR 97132-1856 | 2020-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692007 | Gabrielle Anastasia Humlie | Dietitian, Registered | 109 W 8th St, Newberg, OR 97132 | 2020-09-03 |
| 1093278111 | Viva Wheaton Psyd LLC | Clinical Neuropsychologist | 603 E. Hancock St, Newberg, OR 97132 | 2019-04-08 |
| 1255847554 | John Nguyen | Physical Therapy Assistant | 1900 E. Fulton St., Newberg, OR 97132 | 2017-12-21 |
| 1154835338 | Breanne Embrey | Pharmacist | 1001 Providence Dr., Newberg, OR 97132 | 2017-11-26 |
| 1174063473 | Patricia Roberts | Hearing Instrument Specialist | 1014 B N Springbrook Rd, Newberg, OR 97132 | 2017-03-06 |
| 1477906048 | Dr. Marsha A. Green, L.L.C. | Community/Behavioral Health | 710c Foothills Dr, Ste 104, Newberg, OR 97132 | 2016-07-19 |
| 1760841308 | George Fox University Physical Therapy Community Clinic | Physical Therapist | 501 Villa Road, Newberg, OR 97132 | 2016-02-10 |
| 1013321389 | Jaecelle Guadiz Galeniece | Family Medicine | 1003 Providence Dr Ste 110, Newberg, OR 97132 | 2014-06-16 |
| 1790116978 | Nancy Stiehler Thurston | Psychologist | 501 N. Villa Rd., Newberg, OR 97132 | 2013-12-12 |
| 1700138856 | Kristen Z. Grbavac O'halloran | Physical Therapist | 1515 Portland Road, Suite 102, Newberg, OR 97132 | 2012-10-12 |
| Find all providers in zip 97132 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940298 | New Start Program | Clinic/Center | 12180 Se Market St, Portland, OR 97216-3923 | 2020-01-03 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1518419779 | Bend Iop | Clinic/Center | 20354 Empire Ave, Bend, OR 97703-5710 | 2016-11-03 |
| 1447605258 | Crestview Recovery Services, LLC | Clinic/Center | 6027 Se Belmont St, Portland, OR 97215-1927 | 2016-04-29 |
| 1669856571 | Portland Iop, LLC | Clinic/Center | 748 Se 181st Ave, Portland, OR 97233-4945 | 2015-07-10 |
| 1194150326 | Goforth Inspired LLC | Clinic/Center | 345 Ne Baker Creek Rd, Mcminnville, OR 97128-2019 | 2013-09-06 |
| 1376788729 | Total Results LLC | Clinic/Center | 251 Ne Garden Valley Blvd, Suite I, Roseburg, OR 97470-1498 | 2008-12-12 |
| 1225241441 | Crc Health Oregon, LLC | Clinic/Center | 777 Murphy Rd, Medford, OR 97504-8425 | 2007-05-07 |
| 1336287010 | Seasons Counseling, Inc | Clinic/Center | 730 Hawthorne Ave Ne, Salem, OR 97301-4674 | 2007-02-02 |
| 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.