| Active Recovery Tms Pllc | |
|
10151 Se Sunnyside Rd Ste 360 Clackamas OR 97015-5705 | |
| (503) 308-3007 | |
| Not Available |
| Full Name | Active Recovery Tms Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 10151 Se Sunnyside Rd Ste 360, Clackamas, Oregon |
| Authorized Official Name and Position | Y Pritham K Raj (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 5033083007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Recovery Tms Pllc 11850 Sw 67th Ave Ste 105 Portland OR 97223-8963 Ph: (503) 836-5014 | Active Recovery Tms Pllc 10151 Se Sunnyside Rd Ste 360 Clackamas OR 97015-5705 Ph: (503) 308-3007 |
| NPI Number | 1881287787 |
|---|---|
| Provider Enumeration Date | 02/11/2021 |
| Last Update Date | 02/10/2025 |
| Certification Date | 02/10/2025 |
| Medicare PECOS PAC ID | 9032528047 |
|---|---|
| Medicare Enrollment ID | O20210504001021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881287787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Y Pritham Raj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972690923 PECOS PAC ID: 8325047814 Enrollment ID: I20061211000419 |
| Provider Name | Laura Dillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083036990 PECOS PAC ID: 1153683297 Enrollment ID: I20180329001112 |
| Provider Name | Jenna Lander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366989832 PECOS PAC ID: 6608112560 Enrollment ID: I20190114002162 |
| Provider Name | Ryan Dozler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134793615 PECOS PAC ID: 0143696773 Enrollment ID: I20221021001470 |
| Provider Name | Larissa Birndorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073939211 PECOS PAC ID: 7719290451 Enrollment ID: I20230206001148 |
| Provider Name | Zachary Ray Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508430216 PECOS PAC ID: 8325443708 Enrollment ID: I20231026001032 |
| Provider Name | Yasmin Malik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194036814 PECOS PAC ID: 4284070962 Enrollment ID: I20240316000378 |
| Provider Name | Corinne Rekart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598895013 PECOS PAC ID: 8921417130 Enrollment ID: I20240918000922 |
Linda Heins, Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10001 Se Sunnyside Rd Ste 140, Clackamas, OR 97015 Phone: 503-653-5205 Fax: 503-653-5219 | |
Villeda's Tranquility Health Solutions, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8800 Se Sunnyside Rd Ste 257s, Clackamas, OR 97015 Phone: 503-747-9502 Fax: 877-744-1853 | |
Northwest Family Psychology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10121 Se Sunnyside Rd, Suite 300, Clackamas, OR 97015 Phone: 503-454-6834 | |
Chaise Group, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10117 Se Sunnyside Rd # F1217, Clackamas, OR 97015 Phone: 503-740-1971 Fax: 503-771-2436 | |
Chaise Group, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9123 Se Saint Helens St Ste 100f, Clackamas, OR 97015 Phone: 503-740-1971 Fax: 503-771-2436 | |
Pathways Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9123 Se Saint Helens St Ste 275, Clackamas, OR 97015 Phone: 503-770-0875 | |
Linda E Schmidt Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10001 Se Sunnyside Rd, Suite 140, Clackamas, OR 97015 Phone: 503-258-7675 Fax: 503-653-5219 |