OLD MILL CENTER FOR CHILDREN AND FAMILIES (NPI# 1285719195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285719195 |
| Entity Type | Organization |
| Organization Name | OLD MILL CENTER FOR CHILDREN AND FAMILIES |
| Practice Address |
1650 Sw 45th Pl Corvallis OR 97333 |
| Practice Telephone | 5417578068 |
| Practice Fax Number | 5417581030 |
| Mailing Telephone | 5417578068 |
| Mailing Fax Number | 5417581030 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2014-03-18 |
| Authorized Official Name | KERRIE TARKINTON (OPERATIONS MANAGER) |
| Authorized Official Telephone | 5417578068 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 128715 | 05 | |
| OR | STATE OF OREGON | 100172 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OLD MILL CENTER FOR CHILDREN AND FAMILIES, INC. | 1650 Sw 45th Pl, Corvallis, OR 97333 |
| Street Address |
1650 SW 45TH PL |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780651018 | Pamela Hood Szivek | Occupational Therapist | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2006-03-06 |
| 1154928422 | Molly Marie Paeth | Case Manager/Care Coordinator | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2020-10-08 |
| 1174120141 | Sophia R Shorten | Counselor | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2020-10-02 |
| 1689288987 | Randi Shea Hendricks | Counselor | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2020-09-03 |
| 1992323968 | Alexandra E Moore | Case Manager/Care Coordinator | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2020-07-07 |
| 1932724952 | Sonny Shawn Goodnature | Counselor | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2020-06-15 |
| 1932738077 | Amanda Jean Christensen | Counselor | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2020-04-01 |
| 1306476999 | Kimberly Dawn Vanhorn | Case Manager/Care Coordinator | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2020-01-22 |
| 1790325967 | Erin Zurbrugg | Counselor | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2020-01-15 |
| 1538704895 | Angela Patricia Quintero | Counselor | 1650 Sw 45th Pl, Corvallis, OR 97333-1768 | 2019-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
| 1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
| 1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
| 1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
| 1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
| 1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
| 1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
| 1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
| 1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
| 1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
| Find all providers in zip 97333 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730598038 | Benton County | Clinic/Center | 4077 Sw Research Way, Corvallis, OR 97333-1065 | 2014-08-12 |
| 1104022649 | Children's Farm Home | Clinic/Center | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619599545 | Rework Behavioral Therapy, LLC | Clinic/Center | 7724 Se Aspen Summit Dr Ste 300, Portland, OR 97266-9217 | 2020-05-14 |
| 1447871066 | Sande School of Horsemanship | Clinic/Center | 33836 Bennett Rd, Warren, OR 97053-9706 | 2020-05-05 |
| 1740812809 | Inhousedoc, Inc. | Clinic/Center | 23334 Sw Saint Charles Way, Sherwood, OR 97140-9483 | 2020-02-06 |
| 1033740204 | Cascade Therapy Center, LLC | Clinic/Center | 4531 Se Belmont St Ste 106, Portland, OR 97215-1675 | 2020-01-28 |
| 1043861222 | Renewing Strength Counseling LLC | Clinic/Center | 4509 S 6th St Ste 310, Klamath Falls, OR 97603-4883 | 2019-09-27 |
| 1205338365 | Youth Era | Clinic/Center | 44 W Broadway Ste 225, Eugene, OR 97401-3071 | 2018-03-05 |
| 1801177902 | Cascade Counseling and Assessment | Clinic/Center | 516 Se Morrison St Ste 705, Portland, OR 97214-2347 | 2011-09-01 |
| 1932435377 | County of Lincoln | Clinic/Center | 322 Ne Eads St, Newport, OR 97365-2819 | 2009-10-20 |
| 1760718100 | Lincoln County Health and Human Services | Clinic/Center | 320 Lower Crestline Dr., Waldport, OR 97394 | 2009-10-20 |
| 1851626360 | County of Lincoln | Clinic/Center | 1800 Ne Sturdevant Rd, Toledo, OR 97391 | 2009-10-16 |
| 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.