PROFESSIONAL THERAPUETIC COMMUNITY NETWORK – NPI #1548636079
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

PROFESSIONAL THERAPUETIC COMMUNITY NETWORK is a residential treatment facility located in SALEM, OR. NPPES has assigned the NPI number 1548636079 to PROFESSIONAL THERAPUETIC COMMUNITY NETWORK on August 19, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

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 PROFESSIONAL THERAPUETIC COMMUNITY NETWORK below.

NPI Profile for
PROFESSIONAL THERAPUETIC COMMUNITY NETWORK

NPI Number
1548636079
Enumeration Date

(about 11 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
PROFESSIONAL THERAPUETIC COMMUNITY NETWORK
Primary location
2905 RIVER RD S
SALEM, OR 97302-9754
Phone: (503) 391-7175 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JESSSE WATSON
CEO
Phone: (503) 391-7175
Updated
Identifiers

Identifiers for PROFESSIONAL THERAPUETIC COMMUNITY NETWORK

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
MEDICAIDOR500657056
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
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)

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.