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David Proffitt

Behavior Analyst β€’ Dallas, OR

Active NPI 1487101283 Individual Practitioner Male Practitioner
Practice location in NPPES

182 Sw Academy St Ste 333
Dallas, OR 973381996

Call 5036239289 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

182 Sw Academy St Ste 333

Dallas, OR 973381996

Telephone 5036239289
Fax 5038319289
Organization at the Same NPPES Address or Phone
Polk County Mental Health Facility NPI 1154447068

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Dallas and Oregon

3 active clinicians are listed under Behavior Analyst with a practice address in Dallas, OR (1,425 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Anthony Koch , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1821676669

Psychiatric-Mental Health Nurse Practitioner

Hannah Rose , LCSW

Counselor - Mental Health

NPI 1194261552

Licensed Clinical Social Worker

Chad Sawyer , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1497989669

Psychiatric-Mental Health Nurse Practitioner

Dr. Alfredo Soto , MD

Psychiatry & Neurology - Psychiatry

NPI 1841308632

Doctor of Medicine (M.D.)

Kirsten Teixeira , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023531126

Psychiatric-Mental Health Nurse Practitioner

Reva Vrana , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1932546447

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active July 25, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location July 25, 2017

Registered at 182 SW ACADEMY ST STE 333, DALLAS, OR 973381996 (Tel: 5036239289)

πŸ“
Updated Business Mailing Address July 25, 2017

Registered at 182 SW ACADEMY ST STE 333, DALLAS, OR 973381996 (Tel: (503) 623-9289)

πŸ‘€
Provider Name / Credentials Updated July 25, 2017

Recorded as DAVID PROFFITT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2017

Counselor

βœ…
NPI Profile Active September 09, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 09, 2016

Registered at 1118 OAK ST SE, SALEM, OR 973014019 (Tel: 5035854949)

πŸ“
Business Mailing Address (Initial Record) September 09, 2016

Registered at 1118 OAK ST SE, SALEM, OR 973014019 (Tel: 5035854949)

πŸ‘€
Provider Name / Credentials (Initial Record) September 09, 2016

Recorded as DAVID PROFFITT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2016

Behavior Analyst

🟒
Initial NPI Registration & Enumeration September 09, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1487101283
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2016
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

182 Sw Academy St Ste 333

Dallas, OR 973381996

Phone: 5036239289

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.