Wellformed AI

NPI 1548763519 · live from the CMS NPI Registry

Anywhere Clinic LLC

Psychiatry & Neurology, Psychiatry in Fairbanks, AK. National Provider Identifier 1548763519, active.

NPI record

NPI1548763519 Type 2 · organization
StatusActive
Primary specialtyPsychiatry & Neurology, Psychiatry 2084P0800X
Practice location2555 Phillips Field Rd, Fairbanks, AK 99709
Practice phone702-484-2256
Mailing address4029 Dean Martin Dr, Las Vegas, NV 89103
EnumeratedMarch 15, 2018
Last updatedJune 25, 2024
Authorized officialSam Zand, Owner
Other namesCalm Clinic

Taxonomies and licenses

TaxonomyCodeLicense
Counselor101Y00000X—
Psychologist103T00000X—
Social Worker104100000X—
Marriage & Family Therapist106H00000X—
Psychiatry & Neurology, Psychiatry primary2084P0800X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.