Alaska Neuro/Therapy Center, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

220 Issued in AK

Legal business name

ALASKA NEURO/THERAPY CENTER, LLC

Practice address

615 E 82ND Ave
#102
Anchorage, AK 99518-3100

Phone

(907) 344-3338

Fax

(907) 344-8020

NPI assigned

Nov 3, 2015

Last updated

Nov 3, 2015By 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

Alfred Collins, PH.D.

Title

President

Phone

(907) 344-3338

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1356714026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E 82ND AVE",
            "address_2": "#102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183100",
            "telephone_number": "907-344-3338",
            "fax_number": "907-344-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E 82ND AVE",
            "address_2": "#102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995183100",
            "telephone_number": "907-344-3338",
            "fax_number": "907-344-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA NEURO/THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-344-3338",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AK",
            "license": "220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaska Native Tribal Health Consortium
• Alaska Native Tribal Health Consortium (Alaska Native Medical Center Mediset Pharmacy)
• Alaska Natural Health Solutions, Inc.
• Alaska Nephrologists LLC
• Alaska Neuro Associates, LLC
• Alaska Neurodiagnostic and Rehabilitation Medicine, Inc
• Alaska Neurodiagnostics Specialists LLC
• Alaska Neurology Center LLC
• Alaska Neuropsychology, LLC
• Alaska Neuroscience Associates,LLC

• 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 Nov 3, 2015; 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.