Northbridge LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NORTHBRIDGE LLC

Practice address

1835 Bragaw St
Suite #190
Anchorage, AK 99508-3469

Phone

(907) 770-0495

NPI assigned

Dec 26, 2014

Organization subpart

Yes

Parent organization

WESTCAREAs reported in NPPES

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

Authorized official

Name

Michelle Ziemer

Title

Executive Director

Phone

(907) 770-0495

Specialties & licenses 1

Addresses

Tax ID family

Northbridge LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Northbridge, LLC

  • Community/Behavioral Health Agency
  • Anchorage, AK
  • NPI 1407153984
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Matlock

  • Case Manager/Care Coordinator
  • Anchorage, AK
  • NPI 1043609290
  NPD (past)

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

{
    "created_epoch": "1419552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419552000000",
    "number": "1194113209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231430",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995231430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 BRAGAW ST",
            "address_2": "SUITE #190",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083469",
            "telephone_number": "907-770-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHBRIDGE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTCARE",
        "enumeration_date": "2014-12-26",
        "last_updated": "2014-12-26",
        "status": "A",
        "authorized_official_last_name": "ZIEMER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-770-0495"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Pacific Neuromonitoring Associates, P.C.
• North Pacific Rim Housing Authority
• North Star Acupuncture LLC
• North Star Chiropractic Wellness Center, LLC
• North Star Optical, LLC
• Northbridge Systems Psychology and Consultation, LLC
• Northbridge, LLC
• Northern Connections
• Northern Hearing Services Incorporated
• Northern Home Health, LLC

• Community/Behavioral Health Agency in Anchorage, AK
• Providers in Anchorage, 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 Dec 26, 2014; 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.