Skip to content
NPISignal

Organization

Fifth Corner Academy

NPI Record: ActivePsychiatry & Neurology — Child & Adolescent Psychiatry
NPI1033753231
Mcminnville, Oregon

Provider's NPPES record last updated: March 28, 2020

Overview

Entity Type
Organization
NPI
1033753231
Primary Specialty
Psychiatry & Neurology — Child & Adolescent Psychiatry
Practice Location
Mcminnville, Oregon
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 11:22 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychiatry & Neurology

    Child & Adolescent Psychiatry

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 2084P0804X
  • Counselor

    Mental Health

    Behavioral Health & Social Service Providers

    Definition to come...

    Taxonomy code 101YM0800X
  • Nutritionist

    Nutrition, Education

    Dietary & Nutritional Service Providers

    Definition to come...

    Taxonomy code 133NN1002X
  • Registered Nurse

    Nursing Service Providers

    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

    Taxonomy code 163W00000X
  • Case Manager/Care Coordinator

    Other Service Providers

    A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

    Taxonomy code 171M00000X
  • Driver

    Other Service Providers

    A person employed to operate a motor vehicle as a carrier of persons or property.

    Taxonomy code 172A00000X
  • Specialist

    Research Study

    Other Service Providers

    Definition to come...

    Taxonomy code 1744R1102X
  • Health Educator

    Other Service Providers

    Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.

    Taxonomy code 174H00000X
  • Peer Specialist

    Other Service Providers

    Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

    Taxonomy code 175T00000X
  • Prevention Professional

    Other Service Providers

    Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

    Taxonomy code 405300000X

Practice Locations

Practice Location

1900 Ne Highway 99w Ste K

Mcminnville, Oregon 97128-2757

Phone: (503) 472-4511

Additional Practice Location

1900 Ne Highway 99w Ste M

Mcminnville, Oregon 97128-2757

Phone: (503) 714-6306

Fax: (503) 714-6306

Other Names

  • Fifth Corner Community ServicesReported December 6, 2019

Record Information

Enumeration Date
October 30, 2019
Provider's NPPES Record Last Updated
March 28, 2020
Certification Date
March 28, 2020
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue