NPI 1144927096 · live from the CMS NPI Registry
Katie'S Way Fairbanks, LLC
Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry in Fairbanks, AK. National Provider Identifier 1144927096, active.
NPI record
| NPI | 1144927096 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry 2084B0040X |
| Practice location | 1275 Sadler Way Ste 104, Fairbanks, AK 99701 |
| Practice phone | 907-921-5511 |
| Mailing address | 1275 Sadler Way Ste 102, Fairbanks, AK 99701 |
| Enumerated | February 10, 2023 |
| Last updated | November 20, 2024 |
| Authorized official | Kelly Johnson, Credentialing Director |
| Other names | Katies Way |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | — |
| Clinical Neuropsychologist | 103G00000X | — |
| Psychologist | 103T00000X | — |
| Psychologist, Cognitive & Behavioral | 103TB0200X | — |
| Psychologist, Psychoanalysis | 103TP0814X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Integrative Medicine | 202D00000X | — |
| Family Medicine, Adult Medicine | 207QA0505X | — |
| Physical Medicine & Rehabilitation, Pain Medicine | 2081P2900X | — |
| Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry primary | 2084B0040X | — |
| Psychiatry & Neurology, Psychosomatic Medicine | 2084P0015X | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Psychiatry & Neurology, Pain Medicine | 2084P2900X | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.