Klamath Child and Family Treatment Center

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

KLAMATH CHILD AND FAMILY TREATMENT CENTER

Practice address

705 Washburn Way
Klamath Falls, OR 97603-3648

Phone

(541) 883-1030

NPI assigned

Apr 23, 2009

Organization subpart

Yes

Parent organization

KLAMATH BEHAVORIAL HEALTH AND WELLNESSAs reported in NPPES

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

Authorized official

Name

Elizabeth Maddalena

Title

Director of Operations

Phone

(541) 883-1030

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Phoenix Place Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Klamath Child and Family Treatment Center

  • Voluntary or Charitable Agency
  • Klamath Falls, OR
  • NPI 1902830524

  O20140303001515

  Same enrollment

Part of

Klamath Cty HLTH SVCS

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Klamath Behavorial Health and Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Klamath Falls, OR
  • NPI 1659355865
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Cooper

  • Case Manager/Care Coordinator
  • Klamath Falls, OR
  • NPI 1528716339
  NPD (past)

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1992949796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 N ELDORADO AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016418",
            "telephone_number": "541-883-1030",
            "fax_number": "541-884-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 WASHBURN WAY",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976033648",
            "telephone_number": "541-883-1030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1824 Vine Ave",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976013362",
            "country_code": "US",
            "telephone_number": "541-883-1030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KLAMATH CHILD AND FAMILY TREATMENT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KLAMATH BEHAVORIAL HEALTH AND WELLNESS",
        "enumeration_date": "2009-04-23",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "MADDALENA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "541-883-1030"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500500017",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Klamath Birth Center
• Klamath Child & Family Treatment Center
• Klamath Child and Family Treatment Center
• Klamath Child and Family Treatment Center
• Klamath Child and Family Treatment Center
• Klamath Child Nad Family Treatment Center
• Klamath Chiropractic Physicians
• Klamath Counseling Services
• Klamath County
• Klamath County Fire Dist No 4

• Mental Illness Community Based Residential Treatment Facility in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.