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FIFTH CORNER COMMUNITY SERVICES
NPI 1033753231
Psychiatry & Neurology - Child & Adolescent Psychiatry in Mcminnville, OR

Active since October 30, 2019
1900 NE HIGHWAY 99W STE K, MCMINNVILLE, OR 97128(503) 472-4511(503) 714-6306 Get Directions Write a Review

NPPES record last updated: March 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 28, 2020, Dec 29, 2019, Dec 6, 2019 and 1 more (4 updates tracked since 2019).

About Fifth Corner Community Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIFTH CORNER COMMUNITY SERVICES (NPI 1033753231) is a healthcare organization registered as a child & adolescent psychiatry in Mcminnville, Oregon and active in the NPI registry since October 2019. The organization maintains a secondary practice location in Mcminnville and lists Roxanne Franklin Wilson, President/program Administrator, as its authorized official.

NPPES Registry Identity

NPI1033753231
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameFIFTH CORNER ACADEMY
Location Address1900 NE HIGHWAY 99W STE KMcminnville, OR 97128-2757
Mailing Address650 Ne 2nd St Unit 133Mcminnville, OR 97128-4762 · (503) 472-4511 · Fax (503) 714-6306
Phone(503) 472-4511
Fax(503) 714-6306
Organization SubpartNo
Authorized OfficialRoxanne Franklin WilsonPresident/program Administrator · (503) 714-6306
Enumeration DateOctober 30, 2019
Last NPPES UpdateMarch 28, 20204 updates tracked since enumeration
NPPES CertifiedMarch 28, 2020
✔ NPI 1033753231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedDriverTaxonomy 172A00000X
Also ListedSpecialist · Research StudyTaxonomy 1744R1102X
Also ListedHealth EducatorTaxonomy 174H00000X
Also ListedPeer SpecialistTaxonomy 175T00000X
Also ListedPrevention ProfessionalTaxonomy 405300000X
1900 NE HIGHWAY 99W STE K, Mcminnville, OR 97128
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Other Names 1

Doing Business AsFifth Corner Community Services

Secondary Practice Location 1

Location 11900 NE Highway 99W Ste MMcMinnville, OR 97128-2757 · Phone (503) 714-6306 · Fax (503) 714-6306

Other Identifiers 1

Medicaid1851475099OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ROXANNE FRANKLIN WILSON BA, QMHA, PSS
Peer Specialist
1900 NE HIGHWAY 99W STE K
MCMINNVILLE, OR 97128
Yamhill County (503) 472-4511
KATRINA JACOBS QMHA
Rehabilitation Counselor
1900 NE HIGHWAY 99W STE K
MCMINNVILLE, OR 97128
Yamhill County (503) 714-6306
KARA SUMP RN, QMHP-RN
Registered Nurse (Psychiatric/Mental Health)
1900 NE HIGHWAY 99W STE K
MCMINNVILLE, OR 97128
Yamhill County (503) 714-6306

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fifth Corner Academy's NPI number?

The NPI number for Fifth Corner Academy is 1033753231. It was assigned to this organization in the NPPES registry on October 30, 2019. The provider is doing business as Fifth Corner Community Services.

Where is Fifth Corner Academy located?

Fifth Corner Academy is located at 1900 NE Highway 99W Ste K, Mcminnville, OR 97128. The listed phone number is (503) 472-4511.

What is Fifth Corner Academy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Fifth Corner Academy was last updated on March 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.