TELECARE MENTAL HEALTH SERVICES OF OREGON, INC (NPI# 1487853040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487853040 |
| Entity Type | Organization |
| Organization Name | TELECARE MENTAL HEALTH SERVICES OF OREGON, INC |
| Practice Address |
1080 Marina Village Pkwy Suite 100 Alameda CA 94501-6427 |
| Practice Telephone | 5103377950 |
| Practice Fax Number | 5103377969 |
| Mailing Telephone | 5103377950 |
| Mailing Fax Number | 5103377969 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2008-01-14 |
| Authorized Official Name | MARSHALL LANGFELD (CFO,VP) |
| Authorized Official Telephone | 5103377950 |
| Is Organization Subpart | Y |
| Parent Organization Name | TELECARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659453686 | Telecare Mental Health Services of Oregon, Inc | Community Based Residential Treatment Facility, Mental Illness | 7759 Se 72nd Ave, Portland, OR 97206-7921 | 2006-10-19 |
| 1073601647 | Telecare Mental Health Services of Oregon, Inc | Psychiatric Residential Treatment Facility | 1605 E Lincoln Rd, Woodburn, OR 97071-5137 | 2006-10-10 |
| 1740378371 | Telecare Mental Health Services of Oregon, Inc | Community Based Residential Treatment Facility, Mental Illness | 4104 Ne Division St, Gresham, OR 97030-4618 | 2006-10-10 |
| 1245624253 | Telecare Mental Health Services of Oregon, Inc | Community Based Residential Treatment Facility, Mental Illness | 805 Se 151st Ave, Portland, OR 97233-2916 | 2015-03-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | TELECARE MENTAL HEALTH SERVICES OF OREGON, INC. | 1080 Marina Village Parkway Ste 100, Alameda, CA 94501 |
| Street Address |
1080 MARINA VILLAGE PKWY SUITE 100 |
| City | ALAMEDA |
| State | CA |
| Zip Code | 94501-6427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093893133 | Linda Earnest | Contractor | 1080 Marina Village Pkwy, Suite 100, Alameda, CA 94501-6427 | 2006-11-02 |
| 1285275750 | Alexandra Tyan Strutner | Counselor | 1080 Marina Village Pkwy, Alameda, CA 94501-6427 | 2019-10-04 |
| 1275092702 | James Eldon Sechrist | Counselor | 1080 Marina Village Pkwy, Alameda, CA 94501-6427 | 2019-03-14 |
| 1437534930 | Ilyana Mclemore | Marriage & Family Therapist | 1080 Marina Village Pkwy, Suite 100, Alameda, CA 94501-6427 | 2015-07-25 |
| 1487043071 | Jimmy Lorenza Johnson Sr. | Case Manager/Care Coordinator | 1080 Marina Village Pkwy, Suite # 100, Alameda, CA 94501-6427 | 2015-01-20 |
| 1033507934 | C Drew Barnes | Registered Nurse | 1080 Marina Village Pkwy, Alameda, CA 94501-6427 | 2014-12-30 |
| 1689008930 | Marissa Elliott | Registered Nurse | 1080 Marina Village Pkwy, Suite #100, Alameda, CA 94501-6427 | 2013-08-22 |
| 1043505050 | Sheralyn G Brown | Marriage & Family Therapist | 1080 Marina Village Pkwy, Alameda, CA 94501-6427 | 2011-06-17 |
| 1730472846 | Andre' L Paschal | Counselor | 1080 Marina Village Pkwy, Alameda, CA 94501-6427 | 2011-05-23 |
| 1538451729 | Kristen Ann Sharp | Registered Nurse | 1080 Marina Village Pkwy, Alameda, CA 94501-6427 | 2011-05-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259158 | Hailee Ann Heiselbetz | Behavior Technician | 1025 Atlantic Ave. Ste 101, Alameda, CA 94501 | 2020-09-09 |
| 1134745961 | Linda Nykin | Naturopath | 2002 Monterey Cir, Alameda, CA 94501 | 2020-06-17 |
| 1801427570 | Mirna Rodriguez Lopez | Behavior Technician | 1025 Atlantic Ave. Ste. 101, Alameda, CA 94501 | 2020-01-30 |
| 1356987010 | Guadalupe H Hernandez | Technician | 3650 Mount Diablo Blvd, Layayette, CA 94501 | 2019-11-18 |
| 1952951832 | Lily T Nguyen | Behavior Technician | 1025 Atlantic Ave, Suite 101, Alameda, CA 94501 | 2019-09-12 |
| 1326503004 | Mary Macpherson | Speech-Language Pathologist | 2308 Central Ave., Alameda, CA 94501 | 2019-02-06 |
| 1285103838 | Stephanie Owens | Behavioral Analyst | 2213 Clinton Ave #a, Alameda, CA 94501 | 2018-11-13 |
| 1508349390 | Cindy Cabrera | Behavioral Analyst | 1025 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-09-08 |
| 1629554928 | Anita Elizabeth Bower | Behavioral Analyst | 125 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-07-19 |
| 1659862571 | Mariana Rocio Pacas Mexicano | Behavioral Analyst | 1025 Atlantic Ave. Suite 101, Alameda, CA 94501 | 2018-05-26 |
| Find all providers in zip 94501 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497954531 | Seneca Center | Community Based Residential Treatment Facility, Mental Illness | 1301 Walnut St Apt 3, Alameda, CA 94501-4422 | 2007-07-17 |
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| 1003417684 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 1155 Hoover St, Carlsbad, CA 92008-4230 | 2020-11-02 |
| 1497356075 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 405 N Tremont St, Oceanside, CA 92054-2535 | 2020-11-02 |
| 1467053041 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 6477 Goldenbush Dr, Carlsbad, CA 92011-4203 | 2020-11-02 |
| 1366043937 | A Better Life Recovery LLC | Community Based Residential Treatment Facility, Mental Illness | 26065 Waterwheel Pl, Laguna Hills, CA 92653-6114 | 2020-11-02 |
| 1730780313 | Orchid Court, Inc. | Community Based Residential Treatment Facility, Mental Illness | 307 S Arrowhead Avenue, San Bernardino, CA 92408-1325 | 2020-11-02 |
| 1477151199 | Inspiring Pathways, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1798 Bryman St, Hanford, CA 93230-7144 | 2020-10-14 |
| 1356949226 | Wings Recovery Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3134 Morningside Dr, Oceanside, CA 92056-4401 | 2020-10-13 |
| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
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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.