Organization Active NPI

Cygnet Psychological Services LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Anchorage, AK
National Provider Identifier
1407575236
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
CYGNET PSYCHOLOGICAL SERVICES LLC
Practice address
2804 W Northern Lights Blvd Ste 270
Anchorage, AK 99517-3300
Phone
(907) 230-2190
NPI assigned
Aug 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Dr. Marjorie Teresa Kyle, PSY.D.NPI 1487696795
Title
Psychologist
Phone
(907) 230-2190

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
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

2804 W Northern Lights Blvd Ste 270
Anchorage, AK 99517-3300

Mailing address

3705 Arctic Blvd # 406
Anchorage, AK 99503-5774
Phone (907) 230-2190

National Provider Directory

National Provider Directory

Locations

2804 W Northern Lights Blvd
Ste 270
Anchorage, AK 99517
Phone (907) 230-2190

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1407575236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 ARCTIC BLVD # 406",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995035774",
            "telephone_number": "907-230-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 W NORTHERN LIGHTS BLVD STE 270",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995173300",
            "telephone_number": "907-230-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYGNET PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "KYLE",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "907-230-2190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 24, 2022; 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.