NPIMap

Organization Active NPI

Orion Behavioral Health Network LLC

  • Developmental - Behavioral Pediatrics Physician
  • Eagle River, AK
National Provider Identifier
1265702997
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
935267 Issued in AK
Legal business name
ORION BEHAVIORAL HEALTH NETWORK LLC
Practice address
16600 Centerfield Dr Ste 4
Eagle River, AK 99577-7702
Phone
(907) 696-7466
Fax
(907) 726-0332
NPI assigned
Jan 11, 2012
Last updated
Mar 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Jennifer Ellen DesruisseauNPI 1437188810
Title
Cfo
Phone
(907) 360-1566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0006X 935267 AK Primary

Addresses

Primary practice location

16600 Centerfield Dr Ste 4
Eagle River, AK 99577-7702

Mailing address

200 2ND Ave S # 489
Saint Petersburg, FL 33701-4313
Phone (907) 360-1566

Other practice location 1

4050 Lake Otis Pkwy Ste 108
Anchorage, AK 99508-5220
Phone (907) 696-7466

Other practice location 2

1650 Cowles St Ste 338
Fairbanks, AK 99701-5907
Phone (907) 696-7466

Other practice location 3

3505 E Meridian Park Loop Ste 220
Wasilla, AK 99654-7242
Phone (907) 696-7466

National Provider Directory

National Provider Directory
Tax ID family
Orion Behavioral Health Network LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

16600 Centerfield Dr
Ste 205
Eagle River, AK 99577
Phone (907) 202-9238

16600 Centerfield Dr
Ste 4
Eagle River, AK 99577
Phone (907) 696-7466

17025 Snowmobile Ln
Ste 4
Eagle River, AK 99577
Phone (907) 696-7466

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1265702997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 2ND AVE S # 489",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014313",
            "telephone_number": "907-360-1566",
            "fax_number": "907-726-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 CENTERFIELD DR STE 4",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777702",
            "telephone_number": "907-696-7466",
            "fax_number": "907-726-0332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4050 Lake Otis Pkwy Ste 108",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085220",
            "country_code": "US",
            "telephone_number": "907-696-7466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 Cowles St Ste 338",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997015907",
            "country_code": "US",
            "telephone_number": "907-696-7466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3505 E Meridian Park Loop Ste 220",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996547242",
            "country_code": "US",
            "telephone_number": "907-696-7466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORION BEHAVIORAL HEALTH NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "DESRUISSEAU",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "907-360-1566"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "AK",
            "license": "935267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.