OREGON HEALTH AUTHORITY ADDICTIONS AND MENTAL HEALTH


Address: 500 Summer St Ne E86, Salem, OR 97301-1118
Phone: 5039455763

OREGON HEALTH AUTHORITY ADDICTIONS AND MENTAL HEALTH (NPI# 1558774216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558774216
Entity Type Organization
Organization Name OREGON HEALTH AUTHORITY ADDICTIONS AND MENTAL HEALTH
Practice Address 500 Summer St Ne E86
Salem
OR 97301-1118
Practice Telephone 5039455763
Practice Fax Number 5033788467
Mailing Telephone 5039455763
Mailing Fax Number 5033788467
Enumeration Date 2014-06-10
Last Update Date 2014-06-10
Authorized Official Name MR. JEFF EMRICK (DEPUTY DIRECTOR)
Authorized Official Telephone 5039458862
Authorized Official Credential LSCW, CADC III
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 500 SUMMER ST NE E86
City SALEM
State OR
Zip Code 97301-1118

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1871126888 Amity Beth Haddon Maxwell Social Worker Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 2020-02-18
1861042632 Brenda Grizelda Vargas Behavioral Analyst 3400 State Ste Ste G750, Salem, OR 97301 2019-09-13
1588213177 Natalie Stone Registered Nurse 2045 Siverton Rd Ne, Salem, OR 97301 2019-09-06
1588228720 Jeramy Disenso Counselor 270 Cottage St Ne, Salem, OR 97301 2019-04-23
1801353297 Gwendolyn Kersey Registered Nurse 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 2019-02-21
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881153948 Pause Counseling, LLC Community/Behavioral Health 202 Main St Ste 102104, Salem, NH 03079-3170 2019-03-18
1821564436 Bokker Enterprises, Inc. Community/Behavioral Health 115 Turner Lane, Ste #2, Salem, AR 72576 2018-10-22
1477050326 Oregon Wellness Network Community/Behavioral Health 2615 Portland Rd Ne, Salem, OR 97301-0124 2018-04-08
1700335536 Joel M Suckow-md, LLC Community/Behavioral Health 388 State St Ste 701, Salem, OR 97301 2016-09-21
1073979696 Family Preservation Services, Inc Community/Behavioral Health 4507 Malus Dr, Salem, VA 24153-7921 2016-01-12
1700252954 Acenda, Inc. Community/Behavioral Health 168 E Broadway, Salem, NJ 08079-1153 2015-08-11
1265820880 Leumas Lighted Life, LLC Community/Behavioral Health 32 W Clay St, Salem, VA 24153-3754 2015-01-05
1982004362 Alternative Oppurtunities Community/Behavioral Health 684 Sky Vu Shopping Center, Highway 412 West, Salem, AR 72576 2014-09-04
1245646967 Community Alternatives Virginia, Inc. Community/Behavioral Health 119 Sheraton Dr, Salem, VA 24153-3003 2014-07-02
1417361312 Multi-cultural Consultants, Ltd Community/Behavioral Health Freedom & Recovery Program, 3405 Deer Park Dr. Se, Salem, OR 97310-0001 2014-06-18
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Competitor

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City SALEM
Zip Code 97301

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Dataset Information

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.

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