FIELDSTONE
NPI 1609011964
Psychiatric Residential Treatment Facility in Wilsonville, OR

NPI Status: Active since December 15, 2008

Contact Information

29120 SW SAN REMO CT
WILSONVILLE, OR
ZIP 97070
Phone: (541) 858-8170
Fax: (541) 858-8167

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About FIELDSTONE

This page provides the complete NPI Profile along with additional information for Fieldstone, a provider established in Wilsonville, Oregon operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1609011964 assigned on December 2008. The practitioner's primary taxonomy code is 323P00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Fieldstone. The authorized official of this NPI record is Mr. Robert C Beckett (Executive Director)

NPI
1609011964
Provider Legal Name
COLUMBIACARE SERVICES
Other Organization Name
FIELDSTONE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
29120 SW SAN REMO CT WILSONVILLE, OR 97070
Location Phone
(541) 858-8170
Location Fax
(541) 858-8167
Mailing Address
3587 HEATHROW WAY MEDFORD, OR 97504
Mailing Phone
(541) 858-8170
Mailing Fax
(541) 858-8167
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-15-2008
Last Update Date
06-29-2009
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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

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

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)
1320800000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Mental Illness

 

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ROBERT C BECKETT

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(541) 858-8170

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
500603068OTHER (01)ORRESIDENTIAL PROVIDER NUMBER
500606689MEDICAID (05)OR 

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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.
1609011964
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609012912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 0 + 1 + 2 + 9 + 1 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1609011964 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730548207 BRICE WALKER
Individual
Counselor (Mental Health)29120 SW SAN REMO CT
WILSONVILLE, OR 97070
(503) 682-1840
1164881579 ALONDRA SANCHEZ
Individual
Counselor (Mental Health)29120 SW SAN REMO CT
WILSONVILLE, OR 97070
(503) 682-1840
1063896322 STEPHANIE BUSHBAUM
Individual
Counselor (Mental Health)29120 SW SAN REMO CT
WILSONVILLE, OR 97070
(503) 682-1840
1831558303 COREEN SCOTT
Individual
Counselor (Mental Health)29120 SW SAN REMO CT
WILSONVILLE, OR 97070
(503) 682-1840
1740649219 CAILA GRUBBS
Individual
Counselor (Mental Health)29120 SW SAN REMO CT
WILSONVILLE, OR 97070
(503) 682-1840
1568821031 ELIZABETH HOOSE
Individual
Counselor (Mental Health)29120 SW SAN REMO CT
WILSONVILLE, OR 97070
(503) 682-1840
1477912947 DENNIS LEDOUX
Individual
Counselor (Mental Health)29120 SW SAN REMO CT
WILSONVILLE, OR 97070
(503) 682-1840
1194184663 JESSICA PIERCE
Individual
Counselor (Mental Health)29120 SW SAN REMO CT
WILSONVILLE, OR 97070
(503) 682-1840
1821457391 JONATHAN STOCK
Individual
Counselor (Mental Health)29120 SW SAN REMO CT
WILSONVILLE, OR 97070
(503) 682-1840
1689033813 BETTY MORGAN
Individual
Counselor (Mental Health)29120 SW SAN REMO CT
WILSONVILLE, OR 97070
(503) 682-1840
1730600099 ANDREA PICARD
Individual
Counselor (Mental Health)29120 SW SAN REMO CT
WILSONVILLE, OR 97070
(503) 682-1840
1609173384 BRIAN PORTER
Individual
Counselor (Mental Health)29120 SW SAN REMO CT
WILSONVILLE, OR 97070
(503) 682-1840
1386999332 TIFFANY ANN MARIE SARAH GRAVES MA
Individual
Counselor (Mental Health)29120 SW SAN REMO CT
WILSONVILLE, OR 97070
(503) 682-1840
1588954911MR. JAMES HOMER ATKINS III B.A.
Individual
Counselor (Mental Health)29120 SW SAN REMO CT
WILSONVILLE, OR 97070
(503) 682-1840
1316303357 EDEN VIRGINA PARK QMHA
Individual
Counselor (Mental Health)29120 SW SAN REMO CT
WILSONVILLE, OR 97070
(503) 682-1840
1538758875 JAMIE JILL JONES
Individual
Counselor (Mental Health)29120 SW SAN REMO CT
WILSONVILLE, OR 97070
(503) 682-1840
1962653139 NANCY JAMESON
Individual
Counselor (Mental Health)29120 SW SAN REMO CT
WILSONVILLE, OR 97070
(503) 682-1840
1447814678 MARK SCHOENBERG
Individual
Counselor (Mental Health)29120 SW SAN REMO CT
WILSONVILLE, OR 97070
(503) 682-1840
1881265882 ELLYSE BARRIGA
Individual
Counselor (Mental Health)29120 SW SAN REMO CT
WILSONVILLE, OR 97070
(503) 682-1840
1154160281 ALESSANDRO EMMANUEL NEGRETE BAROCIO
Individual
Counselor (Mental Health)29120 SW SAN REMO CT
WILSONVILLE, OR 97070
(503) 682-1840

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609011964, enumerated in the NPI registry as an "organization" on December 15, 2008

The provider is located at 29120 Sw San Remo Ct Wilsonville, Or 97070 and the phone number is (541) 858-8170

This medical organization specializes in Psychiatric Residential Treatment Facility with taxonomy code 323P00000X

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.

This NPI record was last updated on December 15, 2008. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.