NPI 1215635875 · live from the CMS NPI Registry
Katies Way Anchorage LLC
Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry in Anchorage, AK. National Provider Identifier 1215635875, active.
NPI record
| NPI | 1215635875 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry 2084B0040X |
| Practice location | 2751 Debarr Rd Ste 300, Anchorage, AK 99508 |
| Practice phone | 907-206-4088 |
| Mailing address | 720 Poyntz Ave Apt B, Manhattan, KS 66502 |
| Enumerated | February 22, 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, Prescribing (Medical) | 103TP0016X | — |
| Psychologist, Psychoanalysis | 103TP0814X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Integrative Medicine | 202D00000X | — |
| Family Medicine, Adult Medicine | 207QA0505X | — |
| 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 | — |
| Clinical Nurse Specialist, Family Health | 364SF0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.