Individual provider Active NPI

Jana Hoan Zeedyk, PH.D.

  • Clinical Psychologist
  • Anchorage, AK
National Provider Identifier
1457597767
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
635 Issued in AK
Practice address
2549 Cottonwood St
Anchorage, AK 99508-3933
Phone
(907) 222-2670
Fax
(907) 222-2670
NPI assigned
Dec 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 628 OR
Clinical Psychologist 103TC0700X 635 AK Primary

Addresses

Primary practice location

2549 Cottonwood St
Anchorage, AK 99508-3933

Mailing address

2549 Cottonwood St
Anchorage, AK 99508-3933
Phone (907) 222-2670

Other identifiers 1

IdentifierTypeStateIssuer
112151MedicaidOR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250908002100 AK Practitioner - Clinical Psychologist 8820311152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2549 Cottonwood St
Anchorage, AK 99508-3933
Phone (907) 222-2670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
628ORMDClinical Psychologist
635AKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Goodlife Journey Inc. CurrentSince Jul 12, 2025 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1457597767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2549 COTTONWOOD ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083933",
            "telephone_number": "907-222-2670",
            "fax_number": "907-222-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2549 COTTONWOOD ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083933",
            "telephone_number": "907-222-2670",
            "fax_number": "907-222-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEEDYK",
        "first_name": "JANA",
        "middle_name": "HOAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "628",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AK",
            "license": "635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112151",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.