Active NPI
Chantel Justice, PHD
- Psychologist
- Anchorage, AK
National Provider Identifier
1154068666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 193944
- Practice address
- 8717 Dimond D Cir
Anchorage, AK 99515-1931 - Phone
- (907) 771-0536
- NPI assigned
- May 16, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 193944 | AK | Primary |
Addresses
Primary practice location
8717 Dimond D Cir
Anchorage, AK 99515-1931
Mailing address
8717 Dimond D Cir
Anchorage, AK 99515-1931
Phone (907) 771-0536
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260219003205 | AK | Practitioner - Clinical Psychologist | 0345721155 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Anchorage Bariatrics, LLC
Practice addresses (Care Compare)
3909 Arctic Blvd
Suite 101
Anchorage, AK 99503-5769
Phone (907) 770-2380
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 193944 | AK | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchorage Bariatrics, LLC | Current | Accepting new patients | |
| E & a, Inc. | Current | Accepting new patients | |
| E & a, Inc. | Past | Accepting new patients |
Locations
3909 Arctic Blvd
Ste 101
Anchorage, AK 99503
Phone (907) 272-1275
8717 Dimond D Cir
Anchorage, AK 99515
Phone (907) 771-0536
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Anchorage, AK
- NPI 1699355149
-
- Psychiatry Physician
- Anchorage, AK
- NPI 1528223948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1154068666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8717 DIMOND D CIR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995151931",
"telephone_number": "907-771-0536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8717 DIMOND D CIR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995151931",
"telephone_number": "907-771-0536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTICE",
"first_name": "CHANTEL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-16",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AK",
"license": "193944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.