Pediatric Neuropsychological Services of Alaska, PC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

PEDIATRIC NEUROPSYCHOLOGICAL SERVICES OF ALASKA, PC

Practice address

800 East Dimond Blvd, Ste 3-625
Anchorage, AK 99515-2047

Phone

(907) 306-6525

Fax

(907) 929-3057

NPI assigned

Aug 6, 2008

Last updated

Mar 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Leonce Mailloux, PH.D.NPI 1093995219

Title

Neuropsychologist

Phone

(907) 306-6525

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Stephen L. Mailloux, PH. D.

  • Clinical Neuropsychologist
  • Anchorage, AK
  • NPI 1093995219
  NPD (past) Authorized official

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1326204504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 EAST DIMOND BLVD, STE 3-625",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152047",
            "telephone_number": "907-306-6525",
            "fax_number": "907-929-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 EAST DIMOND BLVD, STE 3-625",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152047",
            "telephone_number": "907-306-6525",
            "fax_number": "907-929-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NEUROPSYCHOLOGICAL SERVICES OF ALASKA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "MAILLOUX",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "LEONCE",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "907-306-6525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inaam A Pedalino, DDS
• Veronica Rae Peddada, FNP-BC
• Pediatric Gastroenterology Inc (Pediatric Gastroenterology of Alaska)
• Pediatric Gastroenterology of Alaska, LLC
• Pediatric Neurology Clinic of Alaska, P.C.
• Pediatric OT Services, LLC
• Pediatric Specialists of Alaska LLC (Barbara J. Coopes, MD)
• David J Pedigo, OD
• Monique Pednault
• Pedro J. Valdes, M.D. (Alaska Cardiothoracic Surgery)

• Clinical Neuropsychologist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Clinical Neuropsychologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.