NPI 1629013065 · live from the CMS NPI Registry
Good Samaritan Counseling Center
Psychiatry & Neurology, Psychiatry in Anchorage, AK. National Provider Identifier 1629013065, active.
NPI record
| NPI | 1629013065 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 4241 B St, Suite 100, Anchorage, AK 99503 |
| Practice phone | 907-565-4000 |
| Mailing address | 2530 Debarr Rd, Anchorage, AK 99508 |
| Enumerated | June 19, 2006 |
| Last updated | December 11, 2008 |
| Authorized official | Michele Fissori, Cfo |
| Other names | Uhs Good Samaritan Counseling Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | — |
| Psychologist | 103T00000X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Psychiatry & Neurology, Child & Adolescent Psychiatry | 2084P0804X | — |
| Nurse Practitioner, Pediatrics | 363LP0200X | 435 (AK) |
| Psychologist | 103T00000X | 2817 (AK) |
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | 54965 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.