Northland Family Help Center

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

BH 1709 Issued in AZ

Legal business name

NORTHLAND FAMILY HELP CENTER

Practice address

2100 N Walgreens St
Flagstaff, AZ 86004-6112

Phone

(928) 527-1700

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Sonja Burkhalter

Title

Executive Director

Phone

(928) 233-4310

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Northland Family Help Center2 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.

• Northland Family Help Center

  • Community/Behavioral Health Agency
  • Flagstaff, AZ
  • NPI 1528254125
  NPD tax ID

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508921776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 E LAKIN DR",
            "address_2": "SUITE 7",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043900",
            "telephone_number": "928-774-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N WALGREENS ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860046112",
            "telephone_number": "928-527-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND FAMILY HELP CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURKHALTER",
        "authorized_official_first_name": "SONJA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "928-233-4310",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "BH 1709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEVEL III RESIDENTIAL",
            "identifier": "BH 1709",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northern Arizona University
• Northern Arizona University
• Northern Arizona University
• Northern Arizona Urology
• Northland Eye Care PC
• Northland Family Help Center
• Northland Hospice & Palliative Care
• Northland Hospice & Palliative Care Inc
• Northland Hospice & Palliative Care Inc
• Northland Preparatory Academy

• All providers in Flagstaff, AZ
• Emotionally Disturbed Childrens' Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.