Active NPI
Bridgeway Recovery Services
- Community/Behavioral Health Agency
- Salem, OR
National Provider Identifier
1962793539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Diane Roberts, M.S.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Marriage & Family Therapist
- Ontario, CA
- NPI 1376772673
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
- Kasey Brickey, AU.D.
- Lynne Renee Bridenhagen
- Crystal Marie Bridges, PT, DPT
- Bridgeway Recovery Services (Bridgeway Community Health)
- Bridgeway Recovery Services
- Bridgewood at Four Seasons LLC (Bridgewood at Four Seasons Retirement & Assisted Living)
- James Robert Brietenbauch
- James Joseph Briggs, LPC
- Kendal Rochelle Briggs
- Bright Minds Hearing, LLC (Bright Minds Hearing)
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.