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

NPI Status: Active since November 17, 2022

Contact Information

3300 ARCTIC BLVD STE 201
ANCHORAGE, AK
ZIP 99503
Phone: (907) 931-8618

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  • Organization
  • Clinic/Center
  • Adult Mental Health
  • Accepts Insurance

About BORETIDE BEHAVIORAL HEALTH, LLC

This page provides the complete NPI Profile along with additional information for Boretide Behavioral Health, Llc, a provider established in Anchorage, Alaska operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1225747215 assigned on November 2022. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Kelly Moore Pmhnp-bc (Owner And Employed Provider)

NPI
1225747215
Provider Name
BORETIDE BEHAVIORAL HEALTH, LLC
Entity Type
Organization
Location Address
3300 ARCTIC BLVD STE 201 ANCHORAGE, AK 99503
Location Phone
(907) 931-8618
Mailing Address
3300 ARCTIC BLVD SUITE 201 PMB 1279 ANCHORAGE, AK 99503
Mailing Phone
(907) 931-8618
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-17-2022
Last Update Date
02-02-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Texas Bronze HDHP 7500 - EPO
  • Moda Select Texas Standard Bronze - EPO
  • Moda Select Texas Standard Gold - EPO
  • Moda Select Texas Standard Silver - EPO
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KELLY MOORE PMHNP-BC

Authorized Official Title
OWNER AND EMPLOYED PROVIDER
Authorized Official Phone
(907) 931-8618

Reviews for BORETIDE BEHAVIORAL HEALTH, LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1225747215, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
2
Doubled → 4
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 7 → 14 → 5 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 4 + 5 + 1 + 4 + 4 + 1 + 4 + 2 + 2 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1225747215.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Case Manager/Care Coordinator
3300 ARCTIC BLVD STE 201
ANCHORAGE, AK 99503
Case Manager/Care Coordinator
3300 ARCTIC BLVD STE 201
ANCHORAGE, AK 99503
Case Manager/Care Coordinator
3300 ARCTIC BLVD STE 201
ANCHORAGE, AK 99503
Case Manager/Care Coordinator
3300 ARCTIC BLVD STE 201
ANCHORAGE, AK 99503
Clinic/Center (Mental Health (Including Community Mental Health Center))
3300 ARCTIC BLVD STE 201
ANCHORAGE, AK 99503
Behavior Analyst
3300 ARCTIC BLVD STE 201
ANCHORAGE, AK 99503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225747215, enumerated as an "organization" on November 17, 2022.

The provider is located at 3300 ARCTIC BLVD STE 201 ANCHORAGE, AK 99503 and the phone number is (907) 931-8618.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.

The provider might be accepting Accepts: Moda Health Plan, Inc. and Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.