DAVID ROBERT GLEAVE, PSYD, LLC (NPI# 1750856084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750856084 |
| Entity Type | Organization |
| Organization Name | DAVID ROBERT GLEAVE, PSYD, LLC |
| Practice Address |
1800 Blankenship Rd Ste 200 West Linn OR 97068-4174 |
| Mailing Address |
Po Box 223 West Linn OR 97068-0223 |
| Practice Telephone | 9713508776 |
| Mailing Telephone | 9713508776 |
| Enumeration Date | 2018-10-13 |
| Last Update Date | 2018-10-13 |
| Authorized Official Name | DR. DAVID ROBERT GLEAVE (OWNER) |
| Authorized Official Telephone | 9713508776 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DAVID ROBERT GLEAVE, PSYD, LLC | 1800 Blankenship Rd Ste 200, West Linn, OR 97068-4174 |
| Oregon Corporations, Companies and Business Names | DAVID ROBERT GLEAVE, PSYD, LLC | 1800 Blankenship Rd Ste 200, West Linn, OR 97068 |
| Street Address |
1800 BLANKENSHIP RD STE 200 |
| City | WEST LINN |
| State | OR |
| Zip Code | 97068-4174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316240583 | David Robert Gleave | Psychologist | 1800 Blankenship Rd Ste 200, West Linn, OR 97068 | 2010-12-10 |
| 1639634009 | Dana Jones Pmhnp LLC | Clinic/Center | 1800 Blankenship Rd Ste 200, West Linn, OR 97068-4174 | 2019-02-09 |
| 1568947828 | Tanya Marie Gore | Counselor | 1800 Blankenship Rd Ste 200, West Linn, OR 97068-4174 | 2018-10-02 |
| 1982107264 | Megan M Geary | Social Worker | 1800 Blankenship Rd Ste 200, West Linn, OR 97068 | 2018-03-13 |
| 1023408341 | Psychological Services Center, P.C. | Psychologist | 1800 Blankenship Rd Ste 200, West Linn, OR 97068-4174 | 2015-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678224 | Bethany Joy Bivin | Registered Nurse | 2020 8th Ave Ste 230, West Linn, OR 97068 | 2019-06-19 |
| 1932612777 | Portland Dental Works, LLC | Dentist | 1750 Mckillican, West Linn, OR 97068 | 2017-11-15 |
| 1316460702 | Cameron Johnson Dc LLC | Chiropractor | 21400 Salamo Rd, West Linn, OR 97068 | 2017-07-18 |
| 1376913301 | Genesis Medical Concepts, LLC | Durable Medical Equipment & Medical Supplies | 2020 8th Ave Ste 222, West Linn, OR 97068 | 2015-10-02 |
| 1780052977 | Amanda Carole Tipton | Chiropractor | 21860 Willamette Drive, West Linn, OR 97068 | 2015-09-04 |
| 1457766859 | Eyedeology, Inc | Optometrist | 5656 Hood St. Ste 107, West Linn, OR 97068 | 2014-06-24 |
| 1740694660 | Ariana Bissinger | Nurse Practitioner | 1148 Rosemont Rd, West Linn, OR 97068 | 2014-06-18 |
| 1154606887 | Heather Marie Ellison | Massage Therapist | 22000 Willamette Dr., #107, West Linn, OR 97068 | 2011-10-13 |
| 1336432616 | Lisa Grage | Dental Hygienist | 3551 Coeur D'alene Dr., West Linn, OR 97068 | 2011-05-19 |
| 1922312149 | Richard Barrett King | Behavioral Analyst | 19890 Roan Circle, West Linn, OR 97068 | 2010-07-29 |
| Find all providers in zip 97068 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639634009 | Dana Jones Pmhnp LLC | Clinic/Center | 1800 Blankenship Rd Ste 200, West Linn, OR 97068-4174 | 2019-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226625 | Centered Therapy LLC | Clinic/Center | 300 Se Reed Market Rd Ste 260, Bend, OR 97702-3816 | 2020-08-17 |
| 1124637236 | Inner Light Counseling & Bodywork LLC | Clinic/Center | 2520 Chaucer Ct, Eugene, OR 97405-1217 | 2020-07-24 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1912521998 | The Practice of Jeffery Wise Therapeutics Pmhnp-bc | Clinic/Center | 2651 Nw Thurman St Apt 303, Portland, OR 97210-2327 | 2020-06-04 |
| 1326661448 | Kgk Therapeutic Services | Clinic/Center | 1138 Jefferson St, Eugene, OR 97402-5246 | 2020-05-22 |
| 1831723642 | Wild River Counseling and Consultation, LLC | Clinic/Center | 107 E Main St Ste 7, Medford, OR 97501-6022 | 2020-03-02 |
| 1356973010 | Holistic Healing Behavioral Healthcare | Clinic/Center | 5257 Ne Martin Luther King Blvd Ste 201, Portland, OR 97211-3283 | 2020-02-10 |
| 1336786730 | Sarah Kaufman Counseling | Clinic/Center | 492 E 13th Ave Ste 210, Eugene, OR 97401-4268 | 2019-12-04 |
| 1942845805 | I. Keith Orton, Phd | Clinic/Center | 745 Nw Mt Washington Dr Ste 301, Bend, OR 97703-1576 | 2019-11-14 |
| 1407408305 | Adaptability for Life LLC | Clinic/Center | 309 N 1st St, Silverton, OR 97381-1605 | 2019-07-10 |
| 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.