Northbridge, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

950483 Issued in AK

Legal business name

NORTHBRIDGE, LLC

Practice address

310 K St Ste 200
Anchorage, AK 99501-2064

Phone

(907) 264-6628

NPI assigned

Feb 18, 2011

Last updated

Feb 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason McArthur

Title

Member

Phone

(503) 362-5235

Specialties & licenses 1

Addresses

Other identifiers 1

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 1194113209
  NPD tax ID

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1407153984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 RIVER RD S STE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973029819",
            "telephone_number": "503-362-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 K ST STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995012064",
            "telephone_number": "907-264-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHBRIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "MCARTHUR",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-362-5235"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AK",
            "license": "950483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC# PENDING",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• North Star Optical, LLC
• Northbridge LLC
• Northbridge Systems Psychology and Consultation, LLC
• Northern Connections
• Northern Hearing Services Incorporated
• Northern Home Health, LLC (Preferred Care at Home of Alaska)
• Northern Light Adult Day Services, LLC
• Northern Lighthouse Assisted Living

• 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 Feb 18, 2011; 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.