| Clatsop Behavioral Healthcare | |
|
65 N Hwy 101 Suite 204 Warrenton OR 97146 | |
| (503) 325-0241 | |
| (503) 861-2043 |
| Full Name | Clatsop Behavioral Healthcare |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 65 N Hwy 101 Suite 204, Warrenton, Oregon |
| Authorized Official Name and Position | Amy Baker (CEO) |
| Authorized Official Contact | 5033250241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clatsop Behavioral Healthcare 65 N Hwy 101 Suite 204 Warrenton OR 97146 Ph: (503) 325-0241 | Clatsop Behavioral Healthcare 65 N Hwy 101 Suite 204 Warrenton OR 97146 Ph: (503) 325-0241 |
| NPI Number | 1013925155 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 04/27/2023 |
| Certification Date | 04/27/2023 |
| Medicare PECOS PAC ID | 1355336454 |
|---|---|
| Medicare Enrollment ID | O20040419000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013925155 | NPI | - | NPPES |
| 030494 | Medicaid | OR | |
| 500634477 | Medicaid | OR |
| Provider Name | Melissa R Bock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316217953 PECOS PAC ID: 7113181645 Enrollment ID: I20170322000260 |
| Provider Name | Peter L Patton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568735397 PECOS PAC ID: 2062640113 Enrollment ID: I20180626001226 |
| Provider Name | Michael T Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396810875 PECOS PAC ID: 7113274283 Enrollment ID: I20180719003591 |
| Provider Name | Linda K Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750406484 PECOS PAC ID: 1951641273 Enrollment ID: I20190325001502 |
| Provider Name | Laurel A Payne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568875193 PECOS PAC ID: 6608101571 Enrollment ID: I20190715002204 |
| Provider Name | Patricia I Law |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922365295 PECOS PAC ID: 7012345044 Enrollment ID: I20200325000647 |
| Provider Name | Yesica L Salguera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871044024 PECOS PAC ID: 2769860261 Enrollment ID: I20220610001678 |
| Provider Name | Dragosh Negrea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093270779 PECOS PAC ID: 9931585288 Enrollment ID: I20221010003068 |
| Provider Name | Melinda Lou Talbott |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548688740 PECOS PAC ID: 3375994197 Enrollment ID: I20240105002351 |
| Provider Name | Benjamin Paz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760745020 PECOS PAC ID: 6608228796 Enrollment ID: I20240112004040 |
| Provider Name | Jada Marie Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700327350 PECOS PAC ID: 7517319437 Enrollment ID: I20240304003941 |
| Provider Name | Sheryl Anne Redburn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568907657 PECOS PAC ID: 7911449285 Enrollment ID: I20240603002457 |
| Provider Name | Dori L Lyon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578871521 PECOS PAC ID: 7315489010 Enrollment ID: I20240610002542 |
Tereza's House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 33615 Carlson Rd, Warrenton, OR 97146 Phone: 503-440-6331 | |
Rooted Therapy & Consultation, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 Se Anchor Ave, Warrenton, OR 97146 Phone: 541-659-3217 Fax: 541-507-6344 | |
Clatsop Behavioral Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 N Highway 101 Ste 204, Warrenton, OR 97146 Phone: 503-325-5722 Fax: 503-861-2043 |