Masada 1 Corporation · Psychiatric Residential Treatment Facility

8982 Se Scottstree Way, Clackamas, OR 97015-8535

Overview

Masada 1 Corporation is a Psychiatric Residential Treatment Facility (organization) practicing in Gladstone, Oregon. The National Provider Identifier (NPI) is #1003789066, which was assigned on September 25, 2025, and the registration record was last updated on October 4, 2025. The practitioner's main practice location is at 980 Cornell Ave, Gladstone, OR 97027-1730; the contact telephone number is 8712618517, and the fax number is 5033056268. The primary taxonomy of Masada 1 Corporation is Psychiatric Residential Treatment Facility (323P00000X). The authorized official for Masada 1 Corporation is Gobena Seifu (Administrator/Director).

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Provider Information

NPI 1003789066
Entity Type Organization
Organization Name MASADA 1 CORPORATION
Provider Name MASADA 1 CORPORATION
Practice Address 980 Cornell Ave
Gladstone
OR 97027-1730
Practice Telephone 8712618517
Practice Fax Number 5033056268
Mailing Address 8982 Se Scottstree Way
Clackamas
OR 97015-8535
Mailing Telephone 9712618518
Mailing Fax Number 5033056268
Certification Date 2025-10-04
Enumeration Date 2025-09-25
Last Update Date 2025-10-04
Is Organization Subpart N

Authorized Official Information

Official Name GOBENA SEIFU
Official Title ADMINISTRATOR/DIRECTOR
Credential EXECUTIVE DIRECTOR
Telephone 9712618518

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y323P00000XPsychiatric Residential Treatment Facility

Taxonomy Information

Primary Taxonomy

Code 323P00000X
Taxonomy Psychiatric Residential Treatment Facility
Classification Psychiatric Residential Treatment Facility
Grouping Residential Treatment Facilities
Definition: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Smhs LLC 30 Wakonda, Trabuco Canyon, CA 92679-3709Psychiatric Residential Treatment Facility2025-09-18
Beacon Recovery Residence 3155 Sw 199th Ter, Aloha, OR 97003-2672Psychiatric Residential Treatment Facility2025-10-20
Spectrum Care Academy Bluegrass I 1175 Cane Valley Rd, Columbia, KY 42728Psychiatric Residential Treatment Facility2025-10-27
Britelife Recovery At Hanover LLC 544 Iron Ridge Rd, Hanover, PA 17331-6838Psychiatric Residential Treatment Facility2025-09-04
Capella Recovery Center LLC 3300 Webb Bridge Rd, Alpharetta, GA 30005-4572Psychiatric Residential Treatment Facility2025-10-28
Springboard Counseling Services, LLC 8105 E Plymouth, Mesa, AZ 85207-9719Psychiatric Residential Treatment Facility2025-09-16
Sacred Psyche Ltd 60 Leo M Birmingham Pkwy, Brighton, MA 02135-1123Psychiatric Residential Treatment Facility2025-10-21
Cornelius Olufarati 110 Bower Bloom Dr, Rosharon, TX 77583-1690Psychiatric Residential Treatment Facility2025-09-08
Emerald City Esf II LLC 3711 Pacific Ave, Tacoma, WA 98418-7827Psychiatric Residential Treatment Facility2025-09-04
Clear Water Recovery 4641 Park Heights Ave, Baltimore, MD 21215-6331Psychiatric Residential Treatment Facility2025-09-17
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Location Information

Street Address 8982 SE SCOTTSTREE WAY
City CLACKAMAS
State OR
Zip Code 97015-8535
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Emily Vanessa Cheslik 10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015-5705Registered Dietitian2021-07-13
Healthyu Nutrition 14210 Se Sunnyside Rd, Clackamas, OR 97015-5240Registered Dietitian2019-09-04
Providence Health & Services Oregon 9290 Se Sunnybrook Blvd, Suite 210, Clackamas, OR 97015Occupational Medicine Clinic/Center2009-12-01
Nicholas Revilla 10151 Se Sunnyside Rd Ste 480, Happy Valley, OR 97015-5705Mental Health Counselor2022-06-13
Matthew Preuitt 10151 Se Sunnyside Rd Ste 480, Clackamas, OR 97015-5705Professional Counselor2022-06-24
Wyatt & Casebeer Dental LLC 14210 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5242Dental Clinic/Center2025-08-14
Providence Health & Services Oregon 9290 Se Sunnybrook Blvd, Suite 120, Clackamas, OR 97015Clinic/Center2006-09-25
Matthew Michael Lara Po Box 502, Clackamas, OR 97015-0502Social Worker2025-05-20
Drake Myles Watson 10151 Se Sunnyside Rd Ste 480, Clackamas, OR 97015-5705Professional Counselor2018-06-19
Crissy K Phommachack 14843 Se Parklane Dr Apt 146, Happy Valley, OR 97015-5537School Counselor2025-10-27
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Masada 2 Corporation, Dba: Life Recovery Treatment Center 615 Sw Broadway, Portland, OR 97205-3410Substance Abuse Rehabilitation Facility2025-09-26
Masada Mathew 642 E 103rd St, Brooklyn, NY 11236-2502Doula2025-03-21
Kendall Mieko Masada 1025 Morehead Medical Dr Ste 300, Charlotte, NC 28204-2966Orthopaedic Trauma Physician2019-03-26
Megan Ritter Freeman · Megan Ritter Masada 6101 S 56th St Ste 1, Lincoln, NE 68516-3392Physical Therapist2014-08-06
Laura Noriko Anghelus · Laura Masada 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809General Acute Care Hospital2018-07-23

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.