BROOKSIDE TREATMENT FACILITY – NPI #1659528693
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

BROOKSIDE TREATMENT FACILITY is a community based residential treatment facility located in CLACKAMAS, OR. NPPES has assigned the NPI number 1659528693 to BROOKSIDE TREATMENT FACILITY on August 21, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BROOKSIDE TREATMENT FACILITY” is a dba name, the actual legal business name for this organization is KAISER FOUNDATION HOSPITALS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 4 years ago on Jun 23, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BROOKSIDE TREATMENT FACILITY below.

NPI Profile for
KAISER FOUNDATION HOSPITALS

NPI Number
1659528693
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KAISER FOUNDATION HOSPITALS
Doing Business As (dba): BROOKSIDE TREATMENT FACILITY
Primary location
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9303
Phone: (503) 571-1999 Fax: (503) 571-5508
Mailing address
Same as primary location
Organization Subpart
Yes - BROOKSIDE TREATMENT FACILITY is subpart of another organization.
Authorized Official
SHAWN BARTON
EXECUTIVE DIRECTOR, REVENUE CYCLE
Phone: (800) 813-2000
Updated
Certification Date
Jun 23, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
324500000X
- Substance Abuse Rehabilitation Facility

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggateways
Endpoint type
SOAP URL
Endpoint Description
CAREQUALITY
Content Type
OTHER
Affiliation
N
Endpoint Location
10180 SE SUNNYSIDE RD,
CLACKAMAS, OR 77025-1669