TELECARE MULTNOMAH COUNTY CRISIS ASSESSMENT AND TREATMENT CENTER – NPI #1124310305
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

TELECARE MULTNOMAH COUNTY CRISIS ASSESSMENT AND TREATMENT CENTER is a community based residential treatment facility located in PORTLAND, OR. NPPES has assigned the NPI number 1124310305 to TELECARE MULTNOMAH COUNTY CRISIS ASSESSMENT AND TREATMENT CENTER on May 06, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TELECARE MULTNOMAH COUNTY CRISIS ASSESSMENT AND TREATMENT CENTER” is a dba name, the actual legal business name for this organization is TELECARE MENTAL HEALTH SERVICES OF OREGON, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 4 years ago on Jan 11, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TELECARE MULTNOMAH COUNTY CRISIS ASSESSMENT AND TREATMENT CENTER below.

NPI Profile for
TELECARE MENTAL HEALTH SERVICES OF OREGON, INC.

NPI Number
1124310305
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TELECARE MENTAL HEALTH SERVICES OF OREGON, INC.
Doing Business As (dba): TELECARE MULTNOMAH COUNTY CRISIS ASSESSMENT AND TREATMENT CENTER
Primary location
30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR 97232-2941
Phone: (503) 232-1099 Fax: (503) 232-3854
Mailing address
1080 MARINA VILLAGE PKWY
SUITE 100
ALAMEDA, CA 94501-6427
Phone: (510) 337-7950 Fax: (510) 337-7969
Organization Subpart
No
Authorized Official
LESLIE DAVIS
SVP, CFO
Phone: (510) 337-7950
Updated
Certification Date
Jan 11, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for TELECARE MULTNOMAH COUNTY CRISIS ASSESSMENT AND TREATMENT CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOR500635141
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
323P00000X
- Psychiatric Residential Treatment Facility
261QM0850X
- Clinic/Center / Adult Mental Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.