Active NPI
Kristina Akopian, PSYD
- Forensic Psychologist
- Kenai, AK
National Provider Identifier
1205416112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- PSY31112
- Practice address
- 125 N Willow St Ste B
Kenai, AK 99611-7702 - Phone
- (661) 347-6524
- NPI assigned
- Apr 13, 2021
- Last updated
- Apr 14, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY31112 | CA | |
| Forensic Psychologist | 103TF0200X | 155806 | AK | |
| Forensic Psychologist | 103TF0200X | PSY31112 | CA | Primary |
Addresses
Primary practice location
125 N Willow St Ste B
Kenai, AK 99611-7702
Mailing address
12200 Lincolnshire Dr
Bakersfield, CA 93311-9582
Phone (818) 731-9027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 155806 | AK | MD | Forensic Psychologist |
| PSY31112 | CA | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1205416112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12200 LINCOLNSHIRE DR",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933119582",
"telephone_number": "818-731-9027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 N WILLOW ST STE B",
"city": "KENAI",
"state": "AK",
"postal_code": "996117702",
"telephone_number": "661-347-6524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKOPIAN",
"first_name": "KRISTINA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-13",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY31112",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "AK",
"license": "155806",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "PSY31112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenai, AK
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- Catherine Afonin
- Akeela Inc
- Alaska Professional Neuromonitoring, LLC
- Alaska Technical Neuromonitoring. LLC
- Alaskan Sourdough Enterprises
- Alaskan's Caring for Alaskan's Care Coordination Services
- Alaskas Speech & Language Clinic, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.