Active NPI
Molly E. Dietrich, PSYD
- Psychologist
- Anchorage, AK
National Provider Identifier
1427661636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 227938
- Practice address
- 1201 E 36TH Ave
Anchorage, AK 99508-4372 - Phone
- (907) 562-9229
- Fax
- (907) 562-1603
- NPI assigned
- Aug 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 227938 | AK | Primary |
Addresses
Primary practice location
1201 E 36TH Ave
Anchorage, AK 99508-4372
Mailing address
PO Box 4105
Portland, OR 97208-4105
Phone (866) 907-1068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1201 E 36TH Ave
Anchorage, AK 99508-4372
Phone (907) 562-9229
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services- Washington | Current | Accepting new patients |
Locations
1201 E 36th Ave
Anchorage, AK 99508
Phone (907) 562-9229
920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200
Organizations & group practices 1
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.
-
dba Providence Medical Group Alaska
- Critical Care Medicine (Internal Medicine) Physician
- Anchorage, AK
- NPI 1093956278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1427661636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4105",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084105",
"telephone_number": "866-907-1068",
"fax_number": "425-917-9141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 E 36TH AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084372",
"telephone_number": "907-562-9229",
"fax_number": "907-562-1603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIETRICH",
"first_name": "MOLLY",
"middle_name": "E.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-27",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AK",
"license": "227938",
"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 Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.