Fairbanks Community Behavioral Health Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FAIRBANKS COMMUNITY BEHAVIORAL HEALTH CENTER

Practice address

3830 S Cushman St
Fairbanks, AK 99701-7530

Phone

(907) 452-1575

Fax

(907) 455-5287

NPI assigned

Feb 12, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patricia Joan Weaver, MA

Title

Adult Therapist

Phone

(907) 455-5214

Specialties & licenses 1

Addresses

Tax ID family

Fairbanks Community Behavioral Health Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Fairbanks Community Behavior Health Center

  • Community/Behavioral Health Agency
  • Fairbanks, AK
  • NPI 1902045032
  NPD tax ID
• Fairbanks Community Behavioral Health Center

  • Mental Illness Community Based Residential Treatment Facility
  • Fairbanks, AK
  • NPI 1689822876
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1013156140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 S CUSHMAN ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017530",
            "telephone_number": "907-452-1575",
            "fax_number": "907-455-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 S CUSHMAN ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017530",
            "telephone_number": "907-452-1575",
            "fax_number": "907-455-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRBANKS COMMUNITY BEHAVIORAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "ADULT THERAPIST",
        "authorized_official_telephone_number": "907-455-5214",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairbanks Cancer Care Physicians
• Fairbanks Center for Couple and Family Therapy
• Fairbanks Chiropractic Clinic, Incorporated
• Fairbanks Clinic Inc
• Fairbanks Community Behavior Health Center
• Fairbanks Community Behavioral Health Center
• Fairbanks Community Care Coordination
• Fairbanks Community Imaging, LLC
• Fairbanks Community Mental Health Center
• Fairbanks Community Mental Health Services

• Community/Behavioral Health Agency in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Community/Behavioral Health Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.