Polk County Mental Health

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

POLK COUNTY MENTAL HEALTH

Practice address

182 SW Academy St
Dallas, OR 97338-1996

Phone

(503) 623-9289

NPI assigned

Mar 10, 2017

Organization subpart

No

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

Authorized official

Name

Melanie Myers, MS

Title

Behavioral Health Supervisor I

Phone

(503) 400-3550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1861933863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 SW ACADEMY ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 SW ACADEMY ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973381996",
            "telephone_number": "503-623-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLK COUNTY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH SUPERVISOR I",
        "authorized_official_telephone_number": "503-400-3550",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polk County Mental Health
• Polk County Mental Health
• Polk County Mental Health
• Polk County Mental Health
• Polk County Mental Health
• Polk Vision Clinics Inc. (Central Vision Clinic)
• Polk Youth Services, Inc.
• Jason Dean Pool, MSW
• Sara Joy Porter, LMT
• Lyndsay Marie Posey, L.AC.

• Social Worker in Dallas, OR
• Providers in Dallas, OR by specialty
• Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.