KELLY JEAN CLEAVES (NPI# 1710245949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710245949 |
| Entity Type | Individual |
| Full Name | KELLY JEAN CLEAVES |
| Credential | D.O. |
| Practice Address |
18650 Nw Cornell Rd Ste 315 Hillsboro OR 97124-9207 |
| Mailing Address |
12160 Sw Faircrest St Portland OR 97225-4620 |
| Practice Telephone | 5033520468 |
| Mailing Telephone | 4026508834 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2017-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
DO172166 | OR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
18650 NW CORNELL RD STE 315 |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-9207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285617902 | Erik John Aspengren | Physical Therapist | 18650 Nw Cornell Rd, Suite 314, Hillsboro, OR 97124-9207 | 2005-11-28 |
| 1740768423 | Kevin Yukio Fujimoto | Physical Therapist | 18650 Nw Cornell Rd, Hillsboro, OR 97124-9207 | 2018-08-03 |
| 1922586916 | Constance Liu | Occupational Therapist | 18650 Nw Cornell Rd, Hillsboro, OR 97124-9207 | 2018-08-01 |
| 1437681624 | Sally Loprinzi | Registered Nurse | 18650 Nw Cornell Rd, Suite 220, Hillsboro, OR 97124-9207 | 2017-03-28 |
| 1952833253 | Alexis Kathryn Vannerson | Registered Nurse | 18650 Nw Cornell Rd, Suite 220, Hillsboro, OR 97124-9207 | 2017-03-28 |
| 1003223959 | Providence Health & Services - Oregon | Clinic/Center | 18650 Nw Cornell Rd, Suite 212, Hillsboro, OR 97124-9208 | 2014-07-11 |
| 1861817470 | Thomas Owens | Registered Nurse | 18650 Nw Cornell Rd, Suite 220, Hillsboro, OR 97124-9207 | 2014-02-19 |
| 1053748640 | Maryanne Frances Stewart | Social Worker | 18650 Nw Cornell Rd, Suite 315, Hillsboro, OR 97124-9207 | 2013-09-27 |
| 1245513845 | Katherine Corea Talbert | Counselor | 18650 Nw Cornell Rd, Suite 315, Hillsboro, OR 97124-9207 | 2011-09-21 |
| 1730476250 | Stephanie Hepburn | Physical Therapist | 18650 Nw Cornell Rd, Suite 314, Hillsboro, OR 97124-9207 | 2011-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346484144 | Andrea Jean Moore | Psychiatry & Neurology | 3000 Nw Stucki Pl Ste 150, Hillsboro, OR 97124-7108 | 2009-04-23 |
| 1922082338 | Jennifer A Scott Md LLC | Psychiatry & Neurology | 3000 Nw Stucki Pl, Ste 220, Hillsboro, OR 97124-7107 | 2005-11-30 |
| 1164787735 | Jennifer Alison Scott | Psychiatry & Neurology | 3000 Nw Stucki Pl, Suite 220, Hillsboro, OR 97124-7107 | 2012-07-10 |
| 1306059662 | Prairie View, Inc. | Psychiatry & Neurology | 508 S. Ash, Hillsboro, KS 67063-0185 | 2007-05-07 |
| 1528171998 | Per Sweetman | Psychiatry & Neurology | 19400 Nw Evergreen Pwy, Hillsboro, OR 97124-7031 | 2006-08-17 |
| 1316939937 | Dipika Jayesh Shah | Psychiatry & Neurology | 102 Te Mar Way, Hillsboro, OH 45133-8530 | 2005-08-19 |
| 1477545390 | Ramesh K Shivani | Psychiatry & Neurology | 102 Te Mar Way, Hillsboro, OH 45133-8530 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091670 | Clara A. Bozievich, M.d., P.C. | Psychiatry & Neurology | 971 Nw Spruce Ave Ste 102, Corvallis, OR 97330-2234 | 2020-10-22 |
| 1346863461 | Northstar Tms | Psychiatry & Neurology | 16100 Nw Cornell Rd, Beaverton, OR 97006-7334 | 2020-05-22 |
| 1538782834 | Endeavor Psychiatry LLC | Psychiatry & Neurology | Sw, Portland, OR 97219-5885 | 2020-05-20 |
| 1154942142 | Prisma Wellness LLC | Psychiatry & Neurology | 10260 Sw Greenburg Rd Fl 4, Portland, OR 97223-5500 | 2020-04-30 |
| 1154957728 | Germane & Wise Mental Health Services Consulting LLC | Psychiatry & Neurology | 321 1st Ave Ne Ste 3c, Albany, OR 97321-2794 | 2020-03-16 |
| 1588200091 | Bright Mind LLC | Psychiatry & Neurology | 151 Sw Shevlin Hixon Dr, Bend, OR 97702-3209 | 2019-11-19 |
| 1841772233 | Psychiatrist On-call, LLC | Psychiatry & Neurology | 12655 Sw Center St Ste 150, Beaverton, OR 97005-1864 | 2018-08-31 |
| 1003301011 | Emerald Tms, LLC | Psychiatry & Neurology | 1140 Willagillespie Rd Ste 44, Eugene, OR 97401-6727 | 2018-06-22 |
| 1881188084 | Geriatric Psychiatry Associates | Psychiatry & Neurology | 123 Nw 12th Ave Apt 424, Portland, OR 97209-4145 | 2018-06-20 |
| 1801399522 | Forefront Telecare PC | Psychiatry & Neurology | 325 13th St Ne Ste 404, Salem, OR 97301-2203 | 2018-03-09 |
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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.