Reclaim Clinic

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

RECLAIM CLINIC

Practice address

446 Villa Rd
Newberg, OR 97132-1856

Phone

(503) 406-1009

NPI assigned

Feb 5, 2019

Last updated

Mar 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katie S NicosiaNPI 1205010170

Title

Owner

Phone

(503) 406-1009

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katie Nicosia, FNP

  • Family Nurse Practitioner
  • Newberg, OR
  • NPI 1205010170
  Authorized official Same address or phone

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1225593197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 N VILLA RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321858",
            "telephone_number": "503-406-1009",
            "fax_number": "503-200-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 VILLA RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321856",
            "telephone_number": "503-406-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECLAIM CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "NICOSIA",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-406-1009"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Anne Rahkola, MD
• Barbara Maria Rajska, MD
• Tyler Rapke, LMT
• Robert Craig Raymond, MD
• Rebecca Minifie, LMT, LLC (Body Wisdom Massage Therapy)
• Recovery Partners, P.C. at Springbrook
• Lohith Veerappa Reddy, MD
• Heidi N Reich, MD
• Ana Lauren Reiss, M.S.
• Natasha Reynolds

• Substance Use Disorder Rehabilitation Clinic/Center in Newberg, OR
• Providers in Newberg, OR by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.