NPIMap

Organization Active NPI

Itensive Treatment Services

  • Psychiatric Residential Treatment Facility
  • Eugene, OR
National Provider Identifier
1740553064
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
ITENSIVE TREATMENT SERVICES
Practice address
550 River Rd
Eugene, OR 97404-3212
Phone
(541) 743-2611
NPI assigned
Feb 16, 2012
Organization subpart
Yes
Parent organization
LOOKING GLASS YOUTH AND FAMILY SERVICES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Erin Russell
Title
Clinical Supervisor
Phone
(541) 743-2611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

550 River Rd
Eugene, OR 97404-3212

Mailing address

550 River Rd
Eugene, OR 97404-3212

National Provider Directory

National Provider Directory
Tax ID family
Looking Glass Youth and Family Services3 organizations share this tax ID, including this one
Part of
Looking Glass Youth and Family Services

Other organizations with this tax ID 2

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

Locations

550 River Rd
Eugene, OR 97404
Phone (541) 689-8795

NPI Registry JSON

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1740553064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043212",
            "telephone_number": "541-743-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITENSIVE TREATMENT SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOOKING GLASS YOUTH AND FAMILY SERVICES INC.",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "541-743-2611"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.