Organization Active NPI

Nehemiahs Ranch for Youth

  • Community/Behavioral Health Agency
  • Salem, OR
National Provider Identifier
1972768430
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEHEMIAHS RANCH FOR YOUTH
Practice address
7625 Sunnyside Rd SE
Salem, OR 97306-9558
Phone
(503) 315-0772
NPI assigned
Jul 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Mr. Jacob Ryan Mullin
Title
Executive Director
Phone
(503) 315-0772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7625 Sunnyside Rd SE
Salem, OR 97306-9558

Mailing address

7625 Sunnyside Rd SE
Salem, OR 97306-9558

National Provider Directory

National Provider Directory

Locations

7625 Sunnyside Rd SE
Salem, OR 97306
Phone (503) 315-0772

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1972768430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 SUNNYSIDE RD SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 SUNNYSIDE RD SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069558",
            "telephone_number": "503-315-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEHEMIAHS RANCH FOR YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "MULLIN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-315-0772",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.