NPIMap

Organization Active NPI

Family Solutions

  • Adolescent and Children Mental Health Clinic/Center
  • Grants Pass, OR
National Provider Identifier
1437236445
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
209981 Issued in OR
Legal business name
FAMILY SOLUTIONS
Practice address
322 NW F St
Grants Pass, OR 97526-2052
Phone
(541) 476-4248
Fax
(541) 476-0288
NPI assigned
Nov 1, 2006
Last updated
Nov 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Authorized official

Name
Dorothy Provencio
Title
Chief Operating Officer
Phone
(541) 776-0497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 209981 OR Primary

Addresses

Primary practice location

322 NW F St
Grants Pass, OR 97526-2052

Mailing address

322 NW F St
Grants Pass, OR 97526-2052
Phone (541) 476-4248

Other identifiers 3

IdentifierTypeStateIssuer
209981OtherORSTATE PROVIDER NUMBER
925369OtherORBLUE CROSS INSURANCE
930875235OtherORFEDERAL ID NUMBER

Other names 1

  • Family Friends Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Family Solutions3 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.

Locations

322 NW F St
Grants Pass, OR 97526
Phone (541) 476-4248

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1437236445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 NW F ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262052",
            "telephone_number": "541-476-4248",
            "fax_number": "541-476-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 NW F ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262052",
            "telephone_number": "541-476-4248",
            "fax_number": "541-476-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "PROVENCIO",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "541-776-0497"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "OR",
            "license": "209981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PROVIDER NUMBER",
            "identifier": "209981",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS INSURANCE",
            "identifier": "925369",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL ID NUMBER",
            "identifier": "930875235",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Friends",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.