Lawrence Jess Maile, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

392 Issued in AK

Practice address

3700 Piper St
Anchorage, AK 99508-4665

Phone

(907) 269-7168

NPI assigned

Jul 30, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• State of Alaska Department of Administration

  • Psychiatric Hospital
  • Anchorage, AK
  • NPI 1497842553
  NPD (past)

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1346554458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 HUFFMAN RD",
            "address_2": "SUITE 24, #579",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153516",
            "telephone_number": "907-632-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 PIPER ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084665",
            "telephone_number": "907-269-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAILE",
        "first_name": "LAWRENCE",
        "middle_name": "JESS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AK",
            "license": "392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coral J Mahoney
• Paige Elizabeth Mahoney, LMT
• Sandra Lee Ann Mahoney, ANP
• Julia Crystal Mahosky, LMT
• Maile Assisted Living Home
• Kathy Eileen Mailelle
• Karen Mailer, MD
• Shannon Maillet
• Stephen L. Mailloux, PH. D.
• Erin Chistine Main, OTR/L

• Psychologist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Psychologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.