Organization Active NPI

Bridgeway Recovery Services

  • Community/Behavioral Health Agency
  • Salem, OR
National Provider Identifier
1962793539
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRIDGEWAY RECOVERY SERVICES
Practice address
3325 Harold Dr NE
Salem, OR 97305-1339
Phone
(503) 363-4820
Fax
(503) 363-4820
NPI assigned
Apr 29, 2011
Last updated
Apr 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Authorized official

Name
Elizabeth Diane Roberts, M.S.NPI 1376772673
Title
Cod Counselor
Phone
(951) 235-4115

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3325 Harold Dr NE
Salem, OR 97305-1339

Mailing address

3325 Harold Dr NE
Salem, OR 97305-1339
Phone (503) 363-4820

National Provider Directory

National Provider Directory

Locations

3325 Harold Dr NE
Salem, OR 97305
Phone (503) 399-5597

Practitioners & affiliated clinicians

Practitioners 1

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": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1962793539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 HAROLD DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051339",
            "telephone_number": "503-363-4820",
            "fax_number": "503-363-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 HAROLD DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973051339",
            "telephone_number": "503-363-4820",
            "fax_number": "503-363-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "COD COUNSELOR",
        "authorized_official_telephone_number": "951-235-4115",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.