Northern Psychology Resources LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NORTHERN PSYCHOLOGY RESOURCES LLC

Practice address

47294 Progress CT Ste C
Soldotna, AK 99669-8329

Phone

(907) 262-4470

Fax

(907) 262-4469

NPI assigned

May 13, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Dawn Bock, PHDNPI 1427095900

Title

Owner

Phone

(907) 262-4470

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jacqueline Dawn Bock, PHD

  • Psychologist
  • Kenai, AK
  • NPI 1427095900
  NPD Authorized official

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1124640024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47294 PROGRESS CT STE C",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698329",
            "telephone_number": "907-262-4470",
            "fax_number": "907-262-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47294 PROGRESS CT STE C",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996698329",
            "telephone_number": "907-262-4470",
            "fax_number": "907-262-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN PSYCHOLOGY RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "BOCK",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-262-4470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Colleen Nusbaum, LCSW, CDCI
• Hannah Camilla Nusbaum, LMT
• Daniel D Nyitrai, PA-C
• Jonathan Michael O'Brien
• Eric Clifford O'Guinn, CPO

• Community/Behavioral Health Agency in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Community/Behavioral Health Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.