CATHERINE FREER WILDERNESS THERAPY EXPEDITIONS
NPI 1275688350
Community Based Residential Treatment Facility, Mental Illness in Albany, OR

NPI Status: Active since January 25, 2007

Contact Information

420 3RD AVE SW
ALBANY, OR
ZIP 97321
Phone: (541) 926-7252
Fax: (541) 791-8638

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About CATHERINE FREER WILDERNESS THERAPY EXPEDITIONS

This page provides the complete NPI Profile along with additional information for Catherine Freer Wilderness Therapy Expeditions, a provider established in Albany, Oregon operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1275688350 assigned on January 2007. The practitioner's primary taxonomy code is 320800000X with license number 706 (OR). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Robert Cooley Ph.d. (President Ceo)

NPI
1275688350
Provider Name
CATHERINE FREER WILDERNESS THERAPY EXPEDITIONS
Entity Type
Organization
Location Address
420 3RD AVE SW ALBANY, OR 97321
Location Phone
(541) 926-7252
Location Fax
(541) 791-8638
Mailing Address
420 3RD AVE SW PO BOX 1064 ALBANY, OR 97321
Mailing Phone
(541) 926-7252
Mailing Fax
(541) 791-8638
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-25-2007
Last Update Date
08-22-2020
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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

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
706
License State
OR
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ROBERT COOLEY PH.D.

Authorized Official Title
PRESIDENT CEO
Authorized Official Phone
(541) 926-7252

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275688350
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2214512816310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 2 + 8 + 1 + 6 + 3 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1275688350 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

MR. KEVIN YOUNG RILEY LCSW

Social Worker

(Clinical)

420 3RD AVE SW
ALBANY, OR
ZIP 97321

(541) 231-7538

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275688350, enumerated as an "organization" on January 25, 2007.

The provider is located at 420 3RD AVE SW ALBANY, OR 97321 and the phone number is (541) 926-7252.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.