Active NPI
Psychology Solutions, LLC
- Adolescent and Children Mental Health Clinic/Center
- Palmer, AK
National Provider Identifier
1124692405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- PSYCHOLOGY SOLUTIONS, LLC
- Practice address
- 642 S Alaska St Ste 220
Palmer, AK 99645-6378 - Phone
- (907) 331-0220
- Fax
- (855) 702-2532
- NPI assigned
- May 19, 2021
- Last updated
- May 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lillie Michelle Grimes, PHD
- Title
- Director
- Phone
- (907) 715-8175
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
642 S Alaska St Ste 220
Palmer, AK 99645-6378
Mailing address
6450 E Verboncoeur Dr
Wasilla, AK 99654-4550
Phone (907) 715-8175
National Provider Directory
National Provider DirectoryLocations
642 S Alaska St
Ste 220
Palmer, AK 99645
Phone (907) 331-0220
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Psychologist
- Palmer, AK
- NPI 1972910610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621468800000",
"number": "1124692405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6450 E VERBONCOEUR DR",
"city": "WASILLA",
"state": "AK",
"postal_code": "996544550",
"telephone_number": "907-715-8175",
"fax_number": "855-702-2532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "642 S ALASKA ST STE 220",
"city": "PALMER",
"state": "AK",
"postal_code": "996456378",
"telephone_number": "907-331-0220",
"fax_number": "855-702-2532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHOLOGY SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-19",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A",
"authorized_official_last_name": "GRIMES",
"authorized_official_first_name": "LILLIE",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "907-715-8175",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.