Melissa Ventola-Peters

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

115 W Bond St
Astoria, OR 97103-6009

Phone

(503) 325-0241

NPI assigned

Mar 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Ventola Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/clatsopbh/r4/

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.

• Clatsop Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Warrenton, OR
  • NPI 1013925155
  NPD

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1487159463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 NW BIRCH AVE",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971469647",
            "telephone_number": "508-685-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W BOND ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971036009",
            "telephone_number": "503-325-0241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Washington St Ste P55",
            "address_purpose": "LOCATION",
            "city": "Norwell",
            "state": "MA",
            "postal_code": "020611742",
            "country_code": "US",
            "telephone_number": "781-290-3886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENTOLA-PETERS",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "VENTOLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Van Dusen Medical Services
• Fatima Abdulai Van Dusen, MD
• Arnadene Vanebo Pyle, L.D.
• Chloe Christell Vasilakis Laws, DC
• Lindsey Marie Veenhuis
• Shana Lorraine Verley
• Brittany Dawn Vigoren, R.D.H
• Vince Morrison MSW, PC
• Virtue at the Pointe Recovery Center LLC
• Paul Voeller, M.D.

• All providers in Astoria, OR
• Behavior Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.