NPIMap

Organization Active NPI

Phillip W Neuberger MD LLC

Doing business as Behavioral Medicine of Alaska

  • Child & Adolescent Psychiatry Physician
  • Anchorage, AK
National Provider Identifier
1114117272
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
4662 Issued in AK
Legal business name
PHILLIP W NEUBERGER MD LLC
Doing business as
Behavioral Medicine of Alaska
Practice address
3201 C St
Suite 302
Anchorage, AK 99503-3961
Phone
(907) 562-1996
Fax
(907) 562-2295
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Joseph E Beaty
Title
Billing Agent
Phone
(907) 770-2301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0804X 4662 AK Primary

Addresses

Primary practice location

3201 C St
Suite 302
Anchorage, AK 99503-3961

Mailing address

PO Box 241769
Anchorage, AK 99524-1769
Phone (907) 770-2301

Other names 1

  • Behavioral Medicine of Alaska Doing business as

National Provider Directory

National Provider Directory

Locations

3201 C St
Ste 302
Anchorage, AK 99503
Phone (907) 562-1996

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1114117272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241769",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995241769",
            "telephone_number": "907-770-2301",
            "fax_number": "907-770-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 C ST",
            "address_2": "SUITE 302",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033961",
            "telephone_number": "907-562-1996",
            "fax_number": "907-562-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP W NEUBERGER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "BEATY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "907-770-2301"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AK",
            "license": "4662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Medicine of Alaska",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.