Malcolm Shaquille Bodison

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1251 Muldoon Rd Ste 116
Anchorage, AK 99504-2098

Phone

(190) 727-4828

NPI assigned

Oct 16, 2020

Sex

Male

Sole proprietor

No

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)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/denalifs/r4/

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.

• Denali Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Anchorage, AK
  • NPI 1336260132
  NPD
• Denali Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Anchorage, AK
  • NPI 1366069601
  NPD

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1366040784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 MULDOON RD STE 116",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995042098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 MULDOON RD STE 116",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995042098",
            "telephone_number": "190-727-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODISON",
        "first_name": "MALCOLM",
        "middle_name": "SHAQUILLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlene Kay Boden, P.A.
• McKenna Boden
• Elizabeth Ruth Bodensteiner
• Tessie Bodio
• Angelo Gerald Bodison
• Keith Charles Bodley
• Body Systems Limited Liability Company
• Bodymindsoul, Inc.
• Bodysmith, LLC
• Tamara Boeckman, MSW, CDC1

• All providers in Anchorage, AK
• Mental Health Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.