Active NPI
Behavioral Health LLC
- Community/Behavioral Health Agency
- Salem, OR
National Provider Identifier
1093412579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BEHAVIORAL HEALTH LLC
- Practice address
- 1230 Westwood Dr NW
Salem, OR 97304-3749 - Phone
- (971) 208-4663
- NPI assigned
- Feb 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stacy Burdick, DMIN. BCC RBAI
- Title
- Ceo
- Phone
- (971) 208-4663
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
1230 Westwood Dr NW
Salem, OR 97304-3749
Mailing address
1230 Westwood Dr NW
Salem, OR 97304-3749
Phone (971) 208-4663
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784505600000",
"number": "1093412579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 WESTWOOD DR NW",
"city": "SALEM",
"state": "OR",
"postal_code": "973043749",
"telephone_number": "971-208-4663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 WESTWOOD DR NW",
"city": "SALEM",
"state": "OR",
"postal_code": "973043749",
"telephone_number": "971-208-4663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-14",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A",
"authorized_official_last_name": "BURDICK",
"authorized_official_first_name": "STACY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "971-208-4663",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMIN. BCC RBAI"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.