NPIMap

Organization Active NPI

Chehalem Youth & Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newberg, OR
National Provider Identifier
1750512661
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
NA FOR THIS TYPE Issued in OR
Legal business name
CHEHALEM YOUTH & FAMILY SERVICES
Practice address
504 Villa Rd Ste 3
Newberg, OR 97132-1851
Phone
(503) 538-4874
Fax
(503) 538-1271
NPI assigned
Jul 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Stacy Gingerich, M. ED.
Title
Clinical Services Manager
Phone
(503) 538-4874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NA FOR THIS TYPE OR Primary

Addresses

Primary practice location

504 Villa Rd Ste 3
Newberg, OR 97132-1851

Mailing address

504 Villa Rd Ste 3
Newberg, OR 97132-1851
Phone (503) 538-4874

National Provider Directory

National Provider Directory
Tax ID family
Chehalem Youth Family Services3 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

504 N Villa Rd
Ste 3
Newberg, OR 97132
Phone (503) 538-4874

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1750512661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 VILLA RD STE 3",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321851",
            "telephone_number": "503-538-4874",
            "fax_number": "503-538-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 VILLA RD STE 3",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321851",
            "telephone_number": "503-538-4874",
            "fax_number": "503-538-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEHALEM YOUTH & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "GINGERICH",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "CLINICAL SERVICES MANAGER",
        "authorized_official_telephone_number": "503-538-4874",
        "authorized_official_credential": "M. ED."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OR",
            "license": "NA FOR THIS TYPE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.