DISCOVERY PRACTICE MANAGEMENT, INC. NPI 1003420407

Psychiatric Residential Treatment Facility in Beavercreek, OR

NPI 1003420407 Organization Psychiatric Residential Treatment Facili... CLIA Number 38D2219794 CLIA Certificate of Waiver

About DISCOVERY PRACTICE MANAGEMENT, INC.

Discovery Practice Management, Inc. is a provider established in Beavercreek, Oregon specializing in psychiatric residential treatment facility. The NPI number of Discovery Practice Management, Inc. is 1003420407 and was assigned on September 2020. The practitioner's primary taxonomy code is 323P00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Natalie Bryant (Dir Of Business Development)

The CLIA number of Discovery Practice Management, Inc. is 38D2219794 registered as a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Discovery Practice Management, Inc. 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.

NPI

1003420407

Provider NameDISCOVERY PRACTICE MANAGEMENT, INC.
Provider Location Address19824 S BUTTE RD BEAVERCREEK, OR 97004
Provider Mailing Address4281 KATELLA AVE STE 111 LOS ALAMITOS, CA 90720
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date09-02-2020
Last Update Date09-10-2020


Primary Taxonomy

Taxonomy Code323P00000X
ClassificationPsychiatric Residential Treatment Facility
TypeResidential Treatment Facilities
Taxonomy DescriptionA 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

Business Address

DISCOVERY PRACTICE MANAGEMENT, INC.
19824 S BUTTE RD
BEAVERCREEK, OR
ZIP 97004
Phone: (503) 360-0333

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Mailing Address

DISCOVERY PRACTICE MANAGEMENT, INC.
4281 KATELLA AVE STE 111
LOS ALAMITOS, CA
ZIP 90720
Phone: (714) 828-1800



Authorized Official

Authorized Official Name NATALIE BRYANT
Authorized Official TitleDIR OF BUSINESS DEVELOPMENT
Authorized Official Phone(562) 588-4722

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 the NPI number 1003420407 is:

CLIA Number38D2219794
Facility TypeOTHER
Certificate TypeCertificate of Waiver

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376701888MRS. VICKI LYNN MIRACLE R.N.
Individual
Registered Nurse (Community Health)19824 S BUTTE RD
BEAVERCREEK, OR 97004
(503) 632-7077

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.