POLK, YAMHILL, & MARION TREATMENT SERVICES (NPI# 1760540975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760540975 |
| Entity Type | Organization |
| Organization Name | POLK, YAMHILL, & MARION TREATMENT SERVICES |
| Other Organization Name | POYAMA DAY TREATMENT |
| Practice Address |
460 Greenwood Rd S Independence OR 97351-9653 |
| Practice Telephone | 5038386431 |
| Practice Fax Number | 5038386440 |
| Mailing Telephone | 5038386431 |
| Mailing Fax Number | 5038386440 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. HOPE SHAW (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5038386431 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 099030-14 | OR | Agencies |
| Other Name | Type Code |
|---|---|
| Poyama Day Treatment | Other Name - Individual/Organization |
| Street Address |
460 GREENWOOD RD S |
| City | INDEPENDENCE |
| State | OR |
| Zip Code | 97351-9653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023338043 | Gary Kieser | Counselor | 460 Greenwood Rd S, Independence, OR 97351-9653 | 2010-06-02 |
| 1831329473 | Kali Hethorn | Counselor | 460 Greenwood Rd S, Independence, OR 97351-9653 | 2009-07-16 |
| 1376770065 | Lynne Moore | Counselor | 460 Greenwood Rd S, Independence, OR 97351-9653 | 2009-06-19 |
| 1285850081 | Kristen Abreu | Counselor | 460 Greenwood Rd S, Independence, OR 97351-9653 | 2007-04-18 |
| 1760608582 | Helen Dusschee | Counselor | 460 Greenwood Rd S, Independence, OR 97351-9653 | 2007-04-18 |
| 1790901510 | Jenni Carter | Counselor | 460 Greenwood Rd S, Independence, OR 97351-9653 | 2007-04-18 |
| 1003032657 | Alex Locket | Counselor | 460 Greenwood Rd S, Independence, OR 97351-9653 | 2007-04-18 |
| 1598981151 | Heather Stange | Counselor | 460 Greenwood Rd S, Independence, OR 97351-9653 | 2007-04-18 |
| 1619193265 | Hope Shaw | Counselor | 460 Greenwood Rd S, Independence, OR 97351-9653 | 2007-04-18 |
| 1902022569 | Lori Yandell | Counselor | 460 Greenwood Rd S, Independence, OR 97351-9653 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598868515 | Independence-monmouth Family Medicine PC | Family Medicine | 1430 Monmouth St, Independence, OR 97351 | 2006-09-06 |
| 1821070111 | Kenneth R Winokur | Dentist | 329 South Main St, Independence, OR 97351 | 2005-11-14 |
| 1710044144 | Kenneth R Winokur Dmd PC | Dentist | 329 S Main St, Independence, OR 97351 | 2007-01-03 |
| 1407959422 | Keith Allen White | Family Medicine | 1430 Monmouth St, Independence, OR 97351 | 2006-09-06 |
| 1609901024 | Evan L Evans | Audiologist | 1343 A Monmouth St, Independence, OR 97351-0248 | 2007-02-23 |
| 1497703201 | Evergreen Oregon Healthcare Independence, L.L.C. | Skilled Nursing Facility | 1525 Monmouth St, Independence, OR 97351-1007 | 2006-05-04 |
| 1518127844 | David Patrick Mcdarby | Physical Therapist | 1525 Monmouth St, Independence, OR 97351-1007 | 2008-06-10 |
| 1881854115 | Bobbi Jo Shrum | Physical Therapy Assistant | 1525 Monmouth St, Independence, OR 97351-1007 | 2008-06-10 |
| 1639426208 | Central School District 13j | Local Education Agency (LEA) | 1610 Monmouth St, Independence, OR 97351-1008 | 2012-08-13 |
| 1851645931 | Holli Watkin | Nurse Practitioner | 1601 Monmouth St Ste 100, Independence, OR 97351-1019 | 2012-10-29 |
| Find all providers in zip 97351 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790131985 | Comprehensive Mental Health Services, Inc | Community/Behavioral Health | 17844 E 23rd Street, Independence, MO 64057-4723 | 2016-05-06 |
| 1043537616 | Cornerstone of Hope | Community/Behavioral Health | 5905 Brecksville Rd, Independence, OH 44131-1517 | 2010-04-22 |
| 1013249705 | Comprehensive Mental Health Services, Inc. | Community/Behavioral Health | 4231 S. Hocker Drive, Bldg. 13, Independence, MO 64055-4723 | 2010-02-04 |
| 1447333455 | Full Circle Services | Community/Behavioral Health | 2349 Jamestown Ave Ste 1, Independence, IA 50644-9709 | 2006-10-23 |
| 1174040034 | Crossroads Treatment Center of Northern Kentucky, Psc | Community/Behavioral Health | 1974 Walton Nicholson Pike, Independence, KY 41051-7906 | 2017-08-23 |
| 1952844250 | Comprehensive Mental Health Services, Inc. | Community/Behavioral Health | 17844 E 23rd St S, Independence, MO 64057-1840 | 2016-11-18 |
| 1417407941 | P.a.l.s. for Healing | Community/Behavioral Health | 6100 Oak Tree Blvd, Suite 200, Independence, OH 44131-2544 | 2016-10-07 |
| 1679959811 | Dr. Melinda Shaver, L.L.C. | Community/Behavioral Health | 201 N Penn Ave, Suite 507, Independence, KS 67301-3357 | 2015-08-10 |
| 1659762912 | Doulos Ministries, Inc. | Community/Behavioral Health | 3205 N Twyman Rd, Independence, MO 64058-3211 | 2015-02-09 |
| 1730586876 | Cornerstone Family Therapy, LLC | Community/Behavioral Health | 2349 Jamestown Ave, Suite 5, Independence, IA 50644-9709 | 2014-12-03 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 97351 |
Please comment or provide details below to improve the information on POLK, YAMHILL, & MARION TREATMENT SERVICES.
| 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.