NPIMap

Organization Active NPI

Polk, Yamhill, & Marion Treatment Services

  • Community/Behavioral Health Agency
  • Independence, OR
National Provider Identifier
1760540975
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
099030-14 Issued in OR
Legal business name
POLK, YAMHILL, & MARION TREATMENT SERVICES
Practice address
460 Greenwood Rd S
Independence, OR 97351-9653
Phone
(503) 838-6431
Fax
(503) 838-6440
NPI assigned
Dec 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Hope Shaw, M.A.NPI 1619193265
Title
Executive Director
Phone
(503) 838-6431

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 099030-14 OR Primary

Addresses

Primary practice location

460 Greenwood Rd S
Independence, OR 97351-9653

Mailing address

460 Greenwood Rd S
Independence, OR 97351-9653
Phone (503) 838-6431

Other names 1

  • Poyama Day Treatment Other name

National Provider Directory

National Provider Directory
Tax ID family
Polk Yamhill Marion Child Treatment Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

460 Greenwood Rd S
Independence, OR 97351
Phone (503) 838-6431

Practitioners & affiliated clinicians

Practitioners 12

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": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760540975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 GREENWOOD RD S",
            "city": "INDEPENDENCE",
            "state": "OR",
            "postal_code": "973519653",
            "telephone_number": "503-838-6431",
            "fax_number": "503-838-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 GREENWOOD RD S",
            "city": "INDEPENDENCE",
            "state": "OR",
            "postal_code": "973519653",
            "telephone_number": "503-838-6431",
            "fax_number": "503-838-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLK, YAMHILL, & MARION TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "HOPE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-838-6431",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "099030-14",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poyama Day Treatment",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Independence, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.