FIFTH CORNER COMMUNITY SERVICES
NPI 1033753231
Psychiatry & Neurology - Child & Adolescent Psychiatry in Mcminnville, OR
NPI Status: Active since October 30, 2019
Contact Information
1900 NE HIGHWAY 99W STE K
MCMINNVILLE, OR
ZIP 97128
Phone: (503) 472-4511
Fax: (503) 714-6306
- Organization
- Psychiatry & Neurology
- Child & Adolescent Psychiatry
About FIFTH CORNER COMMUNITY SERVICES
This page provides the complete NPI Profile along with additional information for Fifth Corner Community Services, a provider established in Mcminnville, Oregon operating as a Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1033753231 assigned on October 2019. The practitioner's primary taxonomy code is 2084P0804X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Fifth Corner Community Services operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Fifth Corner Community Services. The authorized official of this NPI record is Mrs. Roxanne Franklin Wilson Ba, Qmha, Pss (President/program Administrator)
- NPI
- 1033753231
- Provider Legal Name
- FIFTH CORNER ACADEMY
- Other Organization Name
- FIFTH CORNER COMMUNITY SERVICES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1900 NE HIGHWAY 99W STE K MCMINNVILLE, OR 97128
- Location Phone
- (503) 472-4511
- Location Fax
- (503) 714-6306
- Mailing Address
- 650 NE 2ND ST UNIT 133 MCMINNVILLE, OR 97128
- Mailing Phone
- (503) 472-4511
- Mailing Fax
- (503) 714-6306
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-30-2019
- Last Update Date
- 03-28-2020
- Code Navigator
Location Map
Secondary Locations
- 1900 NE Highway 99W Ste M
McMinnville, OR 97128
(503) 714-6306
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
Psychiatry & Neurology Child & Adolescent Psychiatry
- Taxonomy Code
- 2084P0804X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 133NN1002X | Dietary & Nutritional Service Providers | Nutritionist | |
| 3 | 163W00000X | Nursing Service Providers | Registered Nurse | |
| 4 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
| 5 | 172A00000X | Other Service Providers | Driver | |
| 6 | 1744R1102X | Other Service Providers | Specialist | |
| 7 | 174H00000X | Other Service Providers | Health Educator | |
| 8 | 175T00000X | Other Service Providers | Peer Specialist | |
| 9 | 405300000X | Other Service Providers | Prevention Professional |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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 |
|---|---|---|---|
| 1851475099 | MEDICAID (05) | OR |
Reviews for FIFTH CORNER COMMUNITY SERVICES
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1033753231, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
MCMINNVILLE, OR 97128
MCMINNVILLE, OR 97128
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033753231, enumerated as an "organization" on October 30, 2019.
The provider is located at 1900 NE HIGHWAY 99W STE K MCMINNVILLE, OR 97128 and the phone number is (503) 472-4511.
Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
