OrganizationActive
Boretide Behavioral Health, LLC
NPI 1225747215 · Adult Mental Health Clinic/Center · Anchorage, AK
Provider details
- NPI number
- 1225747215
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Moore, Owner and Employed Provider(907) 931-8618
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3300 Arctic Blvd Ste 201
Anchorage, AK 99503-4579
Phone: (907) 931-8618
Street-level locationGet directions
Mailing address
3300 Arctic Blvd Suite 201 Pmb 1279
Anchorage, AK 99503-4733
Registry dates
- Enumerated
- 2022-11-17
- Last updated
- 2023-02-02
- Certified
- 2023-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.