Organization Active NPI

Psychology Solutions, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Palmer, AK
National Provider Identifier
1124692405
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Authorized official

Name
Lillie Michelle Grimes, PHDNPI 1972910610
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.