NPIMap

Organization Active NPI

Chehalem Youth & Family Services

  • Clinical Neuropsychologist
  • Newberg, OR
National Provider Identifier
1356499420
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
2193 Issued in OR
Legal business name
CHEHALEM YOUTH & FAMILY SERVICES
Practice address
504 Villa Rd Ste 3
Newberg, OR 97132-1851
Phone
(503) 538-4874
Fax
(503) 538-1271
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Deborah Cathers-Seymour
Title
Executive Director
Phone
(503) 538-4874

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 2193 OR
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 2193 OR Primary
Family PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0000X 2193 OR
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 201507040NP-PP OR

Addresses

Primary practice location

504 Villa Rd Ste 3
Newberg, OR 97132-1851

Mailing address

504 Villa Rd Ste 3
Newberg, OR 97132-1851
Phone (503) 538-4874

Other identifiers 1

IdentifierTypeStateIssuer
230442OtherORDMAP PROVIDER

National Provider Directory

National Provider Directory
Tax ID family
Chehalem Youth Family Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356499420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 VILLA RD STE 3",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321851",
            "telephone_number": "503-538-4874",
            "fax_number": "503-538-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 VILLA RD STE 3",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321851",
            "telephone_number": "503-538-4874",
            "fax_number": "503-538-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEHALEM YOUTH & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CATHERS-SEYMOUR",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-538-4874"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "2193",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "OR",
            "license": "2193",
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": "OR",
            "license": "2193",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201507040NP-PP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMAP PROVIDER",
            "identifier": "230442",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.