Cody Chipp, PH.D.
Individual provider Active NPI Clinical Psychologist · Anchorage, AK
NPI 1457780678 · NPPES record last updated Dec 12, 2024
Key facts
- NPI
- 1457780678
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 655 (AK)
- Practice address
- 3501 Denali St Ste 205
Anchorage, AK 99503-4039 - Phone
- (907) 227-6167
- Fax
- (844) 927-4604
- NPI assigned
- Nov 7, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3501 Denali St
Suite 205
Anchorage, AK 99503-4039
Phone (907) 227-4620
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240912004423 | AK | Practitioner - Psychologist Billing Independently | 4789124058 | Practice locations: Anchorage, AK |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevation Counseling & Consulting, LLC | Clinical | Current |
Accepting new patients |
Locations
3501 Denali St
Ste 205
Anchorage, AK 99503
Phone (907) 227-4620
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 655 | AK | Yes |
Addresses
Primary practice location
3501 Denali St Ste 205
Anchorage, AK 99503-4039
Mailing address
3501 Denali St Ste 205
Anchorage, AK 99503-4039
Phone (907) 227-6167
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All providers in Anchorage, AK · Clinical Psychologist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.