NPIMap

Organization Active NPI

Jackson County Mental Health

  • Health Service Psychologist
  • Medford, OR
National Provider Identifier
1811293384
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
Legal business name
JACKSON COUNTY MENTAL HEALTH
Practice address
1005 E Main St
Medford, OR 97504-7448
Phone
(541) 324-2636
NPI assigned
Feb 1, 2011
Last updated
Feb 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Sanford E Esry, M.S.
Title
Mental Health Specialist III
Phone
(541) 324-2636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TH0100X Primary

Addresses

Primary practice location

1005 E Main St
Medford, OR 97504-7448

Mailing address

1005 E Main St
Medford, OR 97504-7448
Phone (541) 324-2636

National Provider Directory

National Provider Directory
Tax ID family
US Coast Guard456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

1005 E Main St
Medford, OR 97504
Phone (541) 774-8201

NPI Registry JSON

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1811293384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 E MAIN ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047448",
            "telephone_number": "541-324-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E MAIN ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047448",
            "telephone_number": "541-324-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "ESRY",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MENTAL HEALTH SPECIALIST III",
        "authorized_official_telephone_number": "541-324-2636",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.