PRACTICAL PSYCHIATRY LLC (NPI# 1447655279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447655279 |
| Entity Type | Organization |
| Organization Name | PRACTICAL PSYCHIATRY LLC |
| Other Organization Name | JACKSON DEMPSEY MD |
| Practice Address |
1201 Ne 7th St Ste C Grants Pass OR 97526-1451 |
| Practice Telephone | 5418906841 |
| Practice Fax Number | 5414824841 |
| Mailing Telephone | 5418906841 |
| Mailing Fax Number | 5414824841 |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |
| Authorized Official Name | DR. JACKSON T DEMPSEY (OWNER) |
| Authorized Official Telephone | 5418906841 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD15946 | OR | Other Service Providers |
| Other Name | Type Code |
|---|---|
| JACKSON DEMPSEY MD | Other Name - Individual/Organization |
| Street Address |
1201 NE 7TH ST STE C |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-1451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780746925 | Jo Anne Marie Smith | Social Worker | 1201 Ne 7th St Ste C, Grants Pass, OR 97526-1451 | 2006-12-14 |
| 1184103301 | B.h. Counseling | Counselor | 1201 Ne 7th St Ste C, Grants Pass, OR 97526 | 2018-08-08 |
| 1477850469 | Bryan Lee Hathaway | Counselor | 1201 Ne 7th St Ste C, Grants Pass, OR 97526 | 2011-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982086054 | Southern Oregon Hbot LLC | Specialist | 1215 Ne 7th St Ste F, Grants Pass, OR 97526-1450 | 2015-06-24 |
| 1952728271 | Haley Berry | Specialist | 266 Se 9th St, Grants Pass, OR 97526-3023 | 2014-03-25 |
| 1184932634 | Shirley Lynn Thorn | Specialist | 1441 Quail Xing, Grants Pass, OR 97526-3688 | 2010-09-17 |
| 1841465564 | Sandra P Davis | Specialist | 953 Ne 9th St, Grants Pass, OR 97526-1606 | 2008-04-23 |
| 1073784047 | Andrea J. Kremko | Specialist | 2576 New Hope Rd, Grants Pass, OR 97527-9027 | 2008-03-18 |
| 1326218181 | Rue Hether Lyon | Specialist | 2070 Mayfield Dr, Grants Pass, OR 97527-5124 | 2008-03-08 |
| 1487847281 | Sheri Lynn Morris | Specialist | 815 Ne D St, Suite B, Grants Pass, OR 97526-2379 | 2007-08-24 |
| 1679787253 | Marklan Linnemeyer | Specialist | 124 Sw H St, Suite A, Grants Pass, OR 97526-2500 | 2007-05-10 |
| 1437276342 | Quchyal Lei Dance | Specialist | 141 Sw G St, Grants Pass, OR 97526-2413 | 2007-03-24 |
| 1942337829 | Marcelle Claire Morrocco | Specialist | 860 Leavitt Ln, Grants Pass, OR 97527-9540 | 2007-02-27 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
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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.