Individual provider Active NPI

Chantel Justice, PHD

  • Psychologist
  • Anchorage, AK
National Provider Identifier
1154068666
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
193944 Issued in AK
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

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 20 clinicians

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

LicenseStateTypeSpecialty
193944AKMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Anchorage Bariatrics, LLC CurrentSince Apr 1, 2026 Accepting new patients
E & a, Inc. CurrentSince May 22, 2022 Accepting new patients
E & a, Inc. PastSince May 22, 2022 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.

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

Verify at the official NPI Registry.