Organization Active NPI

Aspen Breeze Treatment Center, Inc

  • Community/Behavioral Health Agency
  • Marquette, MI
National Provider Identifier
1639240252
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ASPEN BREEZE TREATMENT CENTER, INC
Practice address
100 N Front St Ste 302
Marquette, MI 49855-4303
Phone
(906) 228-9699
Fax
(906) 228-0505
NPI assigned
Nov 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Wendy S Penhale
Title
Business Manager
Phone
(906) 228-9699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

100 N Front St Ste 302
Marquette, MI 49855-4303

Mailing address

100 N Front St Ste 302
Marquette, MI 49855-4303
Phone (906) 228-9699

National Provider Directory

National Provider Directory

Locations

100 N Front St
Ste 302
Marquette, MI 49855

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639240252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N FRONT ST STE 302",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554303",
            "telephone_number": "906-228-9699",
            "fax_number": "906-228-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N FRONT ST STE 302",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554303",
            "telephone_number": "906-228-9699",
            "fax_number": "906-228-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN BREEZE TREATMENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENHALE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "906-228-9699",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • 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.