Beringia Mental Health LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4433 Issued in AK

Legal business name

BERINGIA MENTAL HEALTH LLC

Practice address

225 Wendell St
Ste B
Fairbanks, AK 99701-4835

Phone

(907) 455-4140

Fax

(907) 455-4119

NPI assigned

Oct 16, 2007

Last updated

Oct 16, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Booker T Evans, MDNPI 1093756736

Title

Owner

Phone

(907) 455-4140

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Booker Theodore Evans, MD

  • Psychiatry Physician
  • Fairbanks, AK
  • NPI 1093756736
  Authorized official Same address or phone
• Leslie Yamamoto, LCSW

  • Clinical Social Worker
  • Fairbanks, AK
  • NPI 1922218668
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1033308002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90349",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995090349",
            "telephone_number": "907-455-4140",
            "fax_number": "907-455-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WENDELL ST",
            "address_2": "STE B",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014835",
            "telephone_number": "907-455-4140",
            "fax_number": "907-455-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERINGIA MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "BOOKER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-455-4140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "4433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyatt Berg, DC
• Patricia L. Bergdahl, D.M.D.
• Daniel Michael Bergeron, DDS
• Marvin Bergeson, M.D.
• Valerie Bergman
• Jenna Marie Berkey
• Raegan Berry
• Zachary T Berteaux
• Tanner Bertrand
• Bessie Green LCSW, LLC

• Psychiatry Physician in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Psychiatry Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.