NPIMap

Organization Active NPI

Center for Behavioral Health

  • Community/Behavioral Health Agency
  • Albany, OR
National Provider Identifier
1295038081
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
064 Issued in OR
Legal business name
CENTER FOR BEHAVIORAL HEALTH
Practice address
2225 Pacific Blvd SE
Suite 207
Albany, OR 97321-7907
Phone
(541) 704-0762
Fax
(541) 704-0070
NPI assigned
Dec 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Jay VandenbogaardNPI 1093022345
Title
Owner/Primary Therapist
Phone
(541) 704-0762

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)CodeLicenseStatePrimary
Case Management Agency 251B00000X 064 OR
Community/Behavioral Health Agency 251S00000X 064 OR Primary

Addresses

Primary practice location

2225 Pacific Blvd SE
Suite 207
Albany, OR 97321-7907

Mailing address

2225 Pacific Blvd SE
Suite 207
Albany, OR 97321-7907
Phone (541) 704-0762

Other identifiers 1

IdentifierTypeStateIssuer
500625423MedicaidOR

National Provider Directory

National Provider Directory

Locations

2225 Pacific Blvd SE
Ste 207
Albany, OR 97321
Phone (541) 704-0762

Practitioners & 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": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1295038081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 PACIFIC BLVD SE",
            "address_2": "SUITE 207",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973217907",
            "telephone_number": "541-704-0762",
            "fax_number": "541-704-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 PACIFIC BLVD SE",
            "address_2": "SUITE 207",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973217907",
            "telephone_number": "541-704-0762",
            "fax_number": "541-704-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "VANDENBOGAARD",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER/PRIMARY THERAPIST",
        "authorized_official_telephone_number": "541-704-0762"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OR",
            "license": "064",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500625423",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.