TODD CAPONETTO
NPI 1245520824
Counselor - Mental Health in Fairview, OR
Active since April 15, 2011
About Todd Caponetto NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TODD CAPONETTO (NPI 1245520824) is an individual mental health provider in Fairview, Oregon and active in the NPI registry since April 2011.
NPPES Registry Identity
NPI1245520824
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTODD CAPONETTO
Location Address1945 NE 205TH AVEFairview, OR 97024-9622
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170
Phone(503) 661-8050
Fax(503) 492-4651
Sole ProprietorNo
Enumeration DateApril 15, 2011
Last NPPES UpdateNovember 7, 2017
✔ NPI 1245520824 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1945 NE 205TH AVE, Fairview, OR 97024
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatric Residential Treatment Facility
1945 NE 205TH AVE
FAIRVIEW, OR 97024
FAIRVIEW, OR 97024
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245520824, enumerated as an "individual" on April 15, 2011.
The provider is located at 1945 NE 205TH AVE FAIRVIEW, OR 97024 and the phone number is (503) 661-8050.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
