Kornelia Grabinska, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

421 Issued in AK

Practice address

1040 Meadow Mouse Rd
Fairbanks, AK 99709-6618

Phone

(907) 479-8933

Fax

(907) 479-8934

NPI assigned

Oct 4, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ballaine Psychological Services Inc

  • Clinical Psychologist
  • Fairbanks, AK
  • NPI 1841287885
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1124015169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 MEADOW MOUSE RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997096618",
            "telephone_number": "907-479-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 MEADOW MOUSE RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997096618",
            "telephone_number": "907-479-8933",
            "fax_number": "907-479-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABINSKA",
        "first_name": "KORNELIA",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AK",
            "license": "421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Rae Gore-Hall, PSYD, MS, LP, LPC-S
• Judith Gottschalk, LPC
• Stephanie Leigh Gottschalk, L.AC.
• Pearl J Gould
• Sriharsha Gowtham, MD
• Grace in Motion
• Julie Fay Gracik
• Ellen-Rose Terese Graeca
• Katie Rae Graff, MA
• Brianna Kamiel Graham, FNP

• Clinical Psychologist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Clinical Psychologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.