OrganizationActive
Family Building Blocks
NPI 1255964730 · Mental Health Clinic/Center (Including Community Mental Health Center) · Salem, OR
Provider details
- NPI number
- 1255964730
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Benjamin Fennimore, Program Director(503) 566-2132
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
2425 Lancaster Dr Ne
Salem, OR 97305-1220
Phone: (503) 566-2132
Street-level locationGet directions
Mailing address
2425 Lancaster Dr Ne
Salem, OR 97305-1220
Registry dates
- Enumerated
- 2020-02-12
- Last updated
- 2026-02-03
- Certified
- 2026-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.