Active NPI
Michael Joseph Vogel, PSY.D.
- Clinical Psychologist
- Eagle River, AK
National Provider Identifier
1114219953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 196899
- Practice address
- 13036 Old Glenn Hwy
Eagle River, AK 99577-7566 - Phone
- (907) 921-1293
- Fax
- (907) 416-5455
- NPI assigned
- May 12, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 196899 | AK | Primary |
Addresses
Primary practice location
13036 Old Glenn Hwy
Eagle River, AK 99577-7566
Mailing address
500 S Cobb St Unit 3610
Palmer, AK 99645-1399
Phone (907) 921-1293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2281 | KS | MD | Professional Counselor |
| 196899 | AK | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1114219953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S COBB ST UNIT 3610",
"city": "PALMER",
"state": "AK",
"postal_code": "996451399",
"telephone_number": "907-921-1293",
"fax_number": "907-416-5455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13036 OLD GLENN HWY",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777566",
"telephone_number": "907-921-1293",
"fax_number": "907-416-5455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGEL",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-12",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AK",
"license": "196899",
"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 Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.