NPIMap

Organization Active NPI

Mountain View Community Mental Health and Recovery Center LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1245997238
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MOUNTAIN VIEW COMMUNITY MENTAL HEALTH AND RECOVERY CENTER LLC
Practice address
3950 Mountain View Dr
Anchorage, AK 99508-1511
Phone
(907) 229-2621
NPI assigned
Nov 24, 2021
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Delphine A Atu-Tetuh, MSN, PMHNP-BCNPI 1437516499
Title
Owner of Entity
Phone
(907) 229-2621

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3950 Mountain View Dr
Anchorage, AK 99508-1511

Mailing address

3523 Mountain View Dr
Anchorage, AK 99508-1111
Phone (907) 229-2621

Other identifiers 1

IdentifierTypeStateIssuer
1712190MedicaidAK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211208000413 AK Part B Supplier - Clinic/Group Practice 6002206950 Receives reassigned benefits from 6 practitioners
Practice locations: Anchorage, AK

National Provider Directory

National Provider Directory
Tax ID family
Mountain View Community Mental Health and Recovery Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3950 Mountain View Dr
Anchorage, AK 99508
Phone (907) 229-2621

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1245997238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3523 MOUNTAIN VIEW DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995081111",
            "telephone_number": "907-229-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 MOUNTAIN VIEW DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995081511",
            "telephone_number": "907-229-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW COMMUNITY MENTAL HEALTH AND RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-24",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "ATU-TETUH",
        "authorized_official_first_name": "DELPHINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "907-229-2621",
        "authorized_official_credential": "MSN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1712190",
            "state": "AK"
        }
    ],
    "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 Nov 2, 2023; 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.