NPIMap

Organization Active NPI

Klamath Behavorial Health and Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Klamath Falls, OR
National Provider Identifier
1659355865
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KLAMATH BEHAVORIAL HEALTH AND WELLNESS
Practice address
3314 Vandenberg Rd
Klamath Falls, OR 97603-3730
Phone
(541) 882-7291
Fax
(541) 883-4213
NPI assigned
Dec 1, 2005
Last updated
Feb 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Authorized official

Name
Mrs. Amanda Bunger, MEDNPI 1770884751
Title
Director
Phone
(541) 882-7291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X OR
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X OR Primary

Addresses

Primary practice location

3314 Vandenberg Rd
Klamath Falls, OR 97603-3730

Mailing address

3314 Vandenberg Rd
Klamath Falls, OR 97603-3730
Phone (541) 882-7291

Other identifiers 1

IdentifierTypeStateIssuer
101568MedicaidOR

Other names 1

  • Klamath County Mental Health Former legal business name

National Provider Directory

National Provider Directory

Locations

3314 Vandenberg Rd
Klamath Falls, OR 97603
Phone (541) 882-7291

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 43

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.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1659355865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 VANDENBERG RD",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976033730",
            "telephone_number": "541-882-7291",
            "fax_number": "541-883-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 VANDENBERG RD",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976033730",
            "telephone_number": "541-882-7291",
            "fax_number": "541-883-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLAMATH BEHAVORIAL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "BUNGER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "541-882-7291",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MED"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101568",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Klamath County Mental Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.