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BORETIDE BEHAVIORAL HEALTH, LLC
NPI 1225747215
Clinic/Center - Adult Mental Health in Anchorage, AK

Active since November 17, 2022
3300 ARCTIC BLVD STE 201, ANCHORAGE, AK 99503(907) 931-8618 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 2, 2023, Nov 17, 2022 (2 updates tracked since 2022).

About Boretide Behavioral Health, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BORETIDE BEHAVIORAL HEALTH, LLC (NPI 1225747215) is a healthcare organization registered as an adult mental health in Anchorage, Alaska and active in the NPI registry since November 2022. The organization lists Kelly Moore, Owner And Employed Provider, as its authorized official.

NPPES Registry Identity

NPI1225747215
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameBORETIDE BEHAVIORAL HEALTH, LLC
Location Address3300 ARCTIC BLVD STE 201Anchorage, AK 99503-4579
Mailing Address3300 Arctic Blvd Suite 201 Pmb 1279Anchorage, AK 99503-4733 · (907) 931-8618 · Fax (907) 931-6387
Phone(907) 931-8618
Organization SubpartNo
Authorized OfficialKelly MooreOwner And Employed Provider · (907) 931-8618
Enumeration DateNovember 17, 2022
Last NPPES UpdateFebruary 2, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
✔ NPI 1225747215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
3300 ARCTIC BLVD STE 201, Anchorage, AK 99503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL HOLLAND
Case Manager/Care Coordinator
3300 ARCTIC BLVD STE 201
ANCHORAGE, AK 99503
Anchorage Municipality (907) 333-1999
STEP AHEAD ABA AK LLC
Behavior Analyst
3300 ARCTIC BLVD STE 201
ANCHORAGE, AK 99503
Anchorage Municipality (888) 238-1818
LUIS AGOSTO
Case Manager/Care Coordinator
3300 ARCTIC BLVD STE 201
ANCHORAGE, AK 99503
Anchorage Municipality (907) 333-1999
RUBIELA HOLLAND
Case Manager/Care Coordinator
3300 ARCTIC BLVD STE 201
ANCHORAGE, AK 99503
Anchorage Municipality (907) 333-1999
MARCIA MOREL-LAY
Case Manager/Care Coordinator
3300 ARCTIC BLVD STE 201
ANCHORAGE, AK 99503
Anchorage Municipality (907) 333-1999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boretide Behavioral Health, LLC's NPI number?

The NPI number for Boretide Behavioral Health, LLC is 1225747215. It was assigned to this organization in the NPPES registry on November 17, 2022.

Where is Boretide Behavioral Health, LLC located?

Boretide Behavioral Health, LLC is located at 3300 Arctic Blvd Ste 201, Anchorage, AK 99503. The listed phone number is (907) 931-8618.

What is Boretide Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

What insurance does Boretide Behavioral Health, LLC accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Boretide Behavioral Health, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Boretide Behavioral Health, LLC was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.