BLUE MOUNTAIN ASSOCIATES, LLC (NPI# 1962621888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962621888 |
| Entity Type | Organization |
| Organization Name | BLUE MOUNTAIN ASSOCIATES, LLC |
| Practice Address |
1101 I Ave La Grande OR 97850 |
| Mailing Address |
Po Box 1005 La Grande OR 97850 |
| Practice Telephone | 5419620162 |
| Practice Fax Number | 5419620119 |
| Mailing Telephone | 5419620162 |
| Mailing Fax Number | 5419620119 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2018-06-05 |
| Authorized Official Name | MEGGEN M BROGOITTI (OFFICE MANAGER) |
| Authorized Official Telephone | 5419620162 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BLUE MOUNTAIN ASSOCIATES, LLC | 1101 I Ave, La Grande, OR 97850 |
| New York State Corporations | BLUE MOUNTAIN ASSOCIATES, LLC | 419 Park Ave South, 15th Floor, New York, Ny 10016 |
| Street Address |
1101 I AVE |
| City | LA GRANDE |
| State | OR |
| Zip Code | 97850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477563203 | Joel D Rice | Psychiatry & Neurology | 1101 I Ave, La Grande, OR 97850-2043 | 2006-08-08 |
| 1679029094 | Marylyn Sumano Champlin | Registered Nurse | 1101 I Ave, La Grande, OR 97850-2043 | 2016-08-26 |
| 1497114417 | Brittany R Pryce | Counselor | 1101 I Ave, La Grande, OR 97850 | 2016-02-18 |
| 1730437898 | Connie Carter | Registered Nurse | 1101 I Ave, La Grande, OR 97850 | 2012-08-21 |
| 1376858092 | Northeast Oregon Community Partnership | Social Worker | 1101 I Ave, La Grande, OR 97850-2043 | 2010-08-18 |
| 1093998866 | Grande Ronde Recovery | Psychiatry & Neurology | 1101 I Ave, La Grande, OR 97850-2043 | 2007-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749621 | Praxis Medical Group P.C. | Clinic/Center | 2011 Fourth St., La Grande, OR 97850 | 2020-10-27 |
| 1730794637 | Praxis Medical Group Inc | Clinic/Center | 2011 4th Street, La Grande, OR 97850 | 2020-09-09 |
| 1154956233 | Ellen Faye Barlow | Nurse Practitioner | 506 Fourth St., La Grande, OR 97850 | 2020-03-09 |
| 1811479991 | Kyle Jacob Roxby | Pharmacist | 2122 Island Avenue, #201, La Grande, OR 97850 | 2018-09-05 |
| 1093296519 | Grande Ronde Hospital, Inc. | Clinic/Center | 10303 S Walton Rd, La Grande, OR 97850 | 2018-08-23 |
| 1073050795 | Dana Marie Gaerke | Occupational Therapist | Parkway Therapies: La Grande Health and Rehab, 91 Aires Lane, La Grande, OR 97850 | 2017-01-20 |
| 1114393998 | Rachel Marie Gazeley | Dental Hygienist | 1507 4th Street, La Grande, OR 97850 | 2015-08-17 |
| 1104227297 | Sarah Blackwood | Pharmacist | 2212 Island Ave, La Grande, OR 97850 | 2014-09-09 |
| 1669890158 | Jean Mckern | Counselor | 902-a Sixth Street, La Grande, OR 97850 | 2014-04-01 |
| 1629333976 | Robert Caleb Mcilmoil | Physical Therapist | 570 8th Street, Eligin, OR 97850 | 2012-07-11 |
| Find all providers in zip 97850 | ||||
| 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 |
|---|---|---|---|---|
| 1477563203 | Joel D Rice | Psychiatry & Neurology | 1101 I Ave, La Grande, OR 97850-2043 | 2006-08-08 |
| 1144230988 | William E Halstead | Psychiatry & Neurology | 1501 6th St Ste C, La Grande, OR 97850-2419 | 2006-08-08 |
| 1497771372 | William Edward Mosiman | Psychiatry & Neurology | 1100 K Ave, La Grande, OR 97850-2131 | 2006-07-14 |
| 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 |
| 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.