Fireside Psychology, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

FIRESIDE PSYCHOLOGY, LLC

Practice address

821 N St Ste 102
Anchorage, AK 99501-3285

Phone

(909) 488-0785

NPI assigned

Jul 16, 2026

Organization subpart

No

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

Authorized official

Name

Molly Dietrich, PSYD

Title

Owner

Phone

(909) 488-0785

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1784160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1245150655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N ST STE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013285",
            "telephone_number": "909-488-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N ST STE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013285",
            "telephone_number": "909-488-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRESIDE PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-16",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "DIETRICH",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-488-0785",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.