Pelton Project, Inc.

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

PELTON PROJECT, INC.

Practice address

714 Lost LN N
Keizer, OR 97303-6335

Phone

(503) 463-6499

Fax

(503) 304-2224

NPI assigned

Feb 3, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chad Stevens

Title

Ceo

Phone

(503) 689-4866

Specialties & licenses 3

Addresses

Other names 1

• Pelton Project Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mackenzie Susann Young

  • Mental Health Counselor
  • Keizer, OR
  • NPI 1205424058
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1053559765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21748",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973071748",
            "telephone_number": "541-760-7851",
            "fax_number": "503-304-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 LOST LN N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973036335",
            "telephone_number": "503-463-6499",
            "fax_number": "503-304-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELTON PROJECT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-689-4866"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pelton Project",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jerrie Lee Parpart, LMT
• Rishi Pathak, M.D.
• Forrest Paxton
• Hannah Payseno, CPM, LDM
• Megan E Peck, DMD
• Justin Michael Pennington, DPT, PT
• Garland Perry
• Kathryn Elizabeth Peterschmidt, D.M.D
• Mary E Pfotzer-Greenwood, LMT
• Christian Phillips, PT, DPT

• Psychiatric Residential Treatment Facility in Keizer, OR
• Providers in Keizer, OR by specialty
• Psychiatric Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.