Adapt
Organization Active NPI Community/Behavioral Health Agency · Brookings, OR
NPI 1760145338 · NPPES record last updated Oct 5, 2023
Key facts
- NPI
- 1760145338
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- ADAPT
- Practice address
- 615 5TH St
Brookings, OR 97415-9199 - Phone
- (541) 672-2691
- Fax
- (541) 492-0190
- NPI assigned
- Oct 20, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- ADAPT
Authorized official
- Name
- Debbie L Phillips
- Title
- Director of Billing
- Phone
- (541) 492-0134
Other NPIs on the same Medicare enrollment 9
Corporate family (same tax ID) 20
Practitioners 8
-
Malori Page Dixon, CCHMC, NCC
-
Katie A Hobbs, LCSW,
-
Deric V Ravsten, D.O.
-
Bryan D Yates, MD
-
Steven W Jeffers, MD
-
Susan F, Pascual, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061121000327 | OR | Part B Supplier - Clinic/Group Practice | 4587662887 |
Receives reassigned benefits from 87 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bandon, OR; Winston, OR; Roseburg, OR; North Bend, OR; Brookings, OR |
National Provider Directory
- Tax ID family
- Adapt
- Part of
- Adapt
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
615 5TH St
Brookings, OR 97415-9199
Mailing address
PO Box 1121
Roseburg, OR 97470-0254
Phone (541) 492-0134
Other names
- Adapt Integrated Health Care
Other providers in Brookings, OR
- A M M S Inc
- Activating Light Studio LLC
- Active Life Physical Therapy Center Inc
- Kathleen Lynnette Adamson
- Adapt
- Adaptive Health Consultants, LLC
- Alder Medical Center PC
- Kalinna Alderman
- Jessica Allen
All providers in Brookings, OR · Community/Behavioral Health Agency in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.