New Wave RTH LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

NEW WAVE RTH LLC

Practice address

2240 Terrel St.
Medford, OR 97501

Phone

(458) 226-5347

Fax

(541) 327-4573

NPI assigned

Jul 6, 2022

Organization subpart

No

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

Authorized official

Name

Brenda Watson

Title

Owner

Phone

(541) 254-0630

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1093448078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 BLACK OAK DR.",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "503-789-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 TERREL ST.",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97501",
            "telephone_number": "458-226-5347",
            "fax_number": "541-327-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WAVE RTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2024-01-09",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-254-0630"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William R Nemzek, M.D.
• Christopher Neumann
• Neurotherapeutic Pediatric Therapies Inc (Medford Children's Therapy)
• Carolyn Neville
• Daniel Neville
• Newborn Critical Care Associates, PC
• Michael Newcomb, MS
• Steven Newhall, PA-C
• Gary L Newland, M.D.
• Ahan Newman, M.D.

• Mental Illness Community Based Residential Treatment Facility in Medford, OR
• Providers in Medford, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.