NPIMap

Organization Active NPI

Eagle River Behavioral Health

  • Psychiatry Physician
  • Eagle River, AK
National Provider Identifier
1073307328
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
EAGLE RIVER BEHAVIORAL HEALTH
Practice address
12812 Old Glenn Hwy Ste C4
Eagle River, AK 99577-7002
Phone
(907) 726-0378
Fax
(907) 726-0374
NPI assigned
Apr 9, 2025
Last updated
Apr 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Catherine Haese, PMHNPNPI 1336863653
Title
Owner
Phone
(907) 317-5883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

12812 Old Glenn Hwy Ste C4
Eagle River, AK 99577-7002

Mailing address

PO Box 770870
Eagle River, AK 99577-0870
Phone (907) 726-0378

National Provider Directory

National Provider Directory

Locations

12812 Old Glenn Hwy
Ste C4
Eagle River, AK 99577
Phone (907) 696-5901

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1073307328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770870",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995770870",
            "telephone_number": "907-726-0378",
            "fax_number": "907-726-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12812 OLD GLENN HWY STE C4",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777002",
            "telephone_number": "907-726-0378",
            "fax_number": "907-726-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE RIVER BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "HAESE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-317-5883",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.