Organization Active NPI

Arctic Behavioral Health

  • Psychiatry Physician
  • Anchorage, AK
National Provider Identifier
1164899282
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2849 Issued in AK
Legal business name
ARCTIC BEHAVIORAL HEALTH
Practice address
4141 B St Ste 302
Anchorage, AK 99503-5942
Phone
(907) 770-0585
Fax
(907) 770-0586
NPI assigned
Aug 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Dr. Howard Frederick Detwiler Jr., M.D.NPI 1649257460
Title
Owner
Phone
(907) 770-0585

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 2849 AK Primary

Addresses

Primary practice location

4141 B St Ste 302
Anchorage, AK 99503-5942

Mailing address

4141 B St Ste 302
Anchorage, AK 99503-5942
Phone (907) 770-0585

Other identifiers 1

IdentifierTypeStateIssuer
1632339MedicaidAK

Other names 1

  • Howard F. Detwiler Jr. M.D. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200330002046 AK Part B Supplier - Clinic/Group Practice 4688003460 Receives reassigned benefits from 1 practitioner
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory

Locations

4141 B St
Ste 208
Anchorage, AK 99503
Phone (907) 563-5765

4141 B St
Ste 302
Anchorage, AK 99503
Phone (907) 770-0585

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1164899282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 B ST STE 302",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035942",
            "telephone_number": "907-770-0585",
            "fax_number": "907-770-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 B ST STE 302",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035942",
            "telephone_number": "907-770-0585",
            "fax_number": "907-770-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCTIC BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "DETWILER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-770-0585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "2849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1632339",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Howard F. Detwiler Jr. M.D.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Howard F. Detwiler Jr. M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.