Jade Cain

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

A230862 Issued in OR

Practice address

2507 Christie Drive
Lake Oswego, OR 97034-9370

Phone

(503) 635-3416

NPI assigned

May 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Youth Villages

  • Community/Behavioral Health Agency
  • Lake Oswego, OR
  • NPI 1740729490
  NPD (past)
• Youth Villages

  • Adolescent and Children Mental Health Clinic/Center
  • Lake Oswego, OR
  • NPI 1992243992
  NPD (past)

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1386201002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-345-2345",
            "fax_number": "818-758-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 CHRISTIE DRIVE",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970349370",
            "telephone_number": "503-635-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OR",
            "license": "A230862",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Elizabeth Butler
• Kelly Megan Butterfield
• Melinda Byrd, PSYD
• Cody Merril Bywaters, LICENSED DENTURIST
• Kelly Pamela Caceres, LPC
• Caitlin C. Han, DMD, LLC
• Judith Anne Calpin, LMT
• Nancy Marie Campbell, PA-C
• Candid Oregon, LLC
• Justin Canfield, LMT

• Behavior Technician in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Behavior Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.