TELECARE MULTNOMAH COUNTY CRISIS ASSESSMENT AND TREATMENT CENTER
NPI 1124310305
Community Based Residential Treatment Facility, Mental Illness in Portland, OR
NPI Status: Active since May 06, 2011
Contact Information
30 NE MARTIN LUTHER KING BLVD
PORTLAND, OR
ZIP 97232
Phone: (503) 232-1099
Fax: (503) 232-3854
- Organization
- Community Based Residential Treatment Fa...
- CLIA Number: 38D2036142
- CLIA Cert. Type: Other - RESIDENTIAL
- CLIA Exp. Date: 01-31-2026
About TELECARE MULTNOMAH COUNTY CRISIS ASSESSMENT AND TREATMENT CENTER
This page provides the complete NPI Profile along with additional information for Telecare Multnomah County Crisis Assessment And Treatment Center, a provider established in Portland, Oregon operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1124310305 assigned on May 2011. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Telecare Multnomah County Crisis Assessment And Treatment Center. The authorized official of this NPI record is Leslie Davis (Svp, Cfo)
- NPI
- 1124310305
- Provider Legal Name
- TELECARE MENTAL HEALTH SERVICES OF OREGON, INC.
- Other Organization Name
- TELECARE MULTNOMAH COUNTY CRISIS ASSESSMENT AND TREATMENT CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 30 NE MARTIN LUTHER KING BLVD PORTLAND, OR 97232
- Location Phone
- (503) 232-1099
- Location Fax
- (503) 232-3854
- Mailing Address
- 1080 MARINA VILLAGE PKWY SUITE 100 ALAMEDA, CA 94501
- Mailing Phone
- (510) 337-7950
- Mailing Fax
- (503) 232-3854
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-06-2011
- Last Update Date
- 01-11-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 323P00000X | Residential Treatment Facilities | Psychiatric Residential Treatment Facility |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500635141 | MEDICAID (05) | OR |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D2036142
- Facility Type
- Other - RESIDENTIAL
- Certificate Effective Date
- February 01, 2024
- Certificate Expiration Date
- January 31, 2026
- Laboratory Director
- RASHEDA CROWDER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Telecare Multnomah County Crisis Assessment And Treatment Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for TELECARE MULTNOMAH COUNTY CRISIS ASSESSMENT AND TREATMENT CENTER
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 3 | 1 | 0 | 3 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 6 | 1 | 0 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 6 + 1 + 0 + 3 + 0 + 24 = 45 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 45 = 5 | 5 | ||||||||
The NPI number 1124310305 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1750945259 | CYNTHIA CASCANTE Individual | Peer Specialist | 30 NE MARTIN LUTHER KING BLVD PORTLAND, OR 97232 (503) 232-1099 |
| 1316569221 | ANGELA WOLFER Individual | Peer Specialist | 30 NE MARTIN LUTHER KING BLVD PORTLAND, OR 97232 (503) 232-1099 |
| 1033717079 | ALICIA BETH PASIK Individual | Counselor (Mental Health) | 30 NE MARTIN LUTHER KING BLVD PORTLAND, OR 97232 (503) 232-1099 |
| 1881121911 | MR. SHAMUS MICHEAL RETTLER Individual | Specialist | 30 NE MARTIN LUTHER KING BLVD PORTLAND, OR 97232 (503) 232-1099 |
| 1841925583 | IDAMARIE WEIMER Individual | Peer Specialist | 30 NE MARTIN LUTHER KING BLVD PORTLAND, OR 97232 (503) 232-1099 |
| 1861120859 | ANGUS GEORGE JOHN BREBNER Individual | Peer Specialist | 30 NE MARTIN LUTHER KING BLVD PORTLAND, OR 97232 (503) 232-1099 |
| 1063124709 | SAMANTHA JANE RILEY Individual | Peer Specialist | 30 NE MARTIN LUTHER KING BLVD PORTLAND, OR 97232 (503) 232-1099 |
| 1811608326 | CLAYTON JOHN WOULLARD Individual | Peer Specialist | 30 NE MARTIN LUTHER KING BLVD PORTLAND, OR 97232 (503) 744-9244 |
| 1679377352 | ERIC W MESSERSMITH RN Individual | Nurse Practitioner (Psychiatric/Mental Health) | 30 NE MARTIN LUTHER KING BLVD PORTLAND, OR 97232 (360) 721-2305 |
| 1265220248 | ORION JAY RODRIGUEZ PSS, THW Individual | Community Health Worker | 30 NE MARTIN LUTHER KING BLVD PORTLAND, OR 97232 (503) 232-1099 |
| 1346038437 | MICHELLE A HESLA MRT Individual | Technician, Health Information | 30 NE MARTIN LUTHER KING BLVD PORTLAND, OR 97232 (971) 230-7649 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124310305, enumerated in the NPI registry as an "organization" on May 06, 2011
The provider is located at 30 Ne Martin Luther King Blvd Portland, Or 97232 and the phone number is (503) 232-1099
This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 38D2036142 for a "other - residential" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 06, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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