Individual provider Active NPI

Cody Chipp, PH.D.

  • Clinical Psychologist
  • Anchorage, AK
National Provider Identifier
1457780678
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
655 Issued in 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
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 655 AK Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240912004423 AK Practitioner - Psychologist Billing Independently 4789124058 Practice locations: Anchorage, AK

Care Compare profile

Medicare Care Compare
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
655AKMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevation Counseling & Consulting, LLC Clinical CurrentSince Jan 1, 2024 Accepting new patients

Locations

3501 Denali St
Ste 205
Anchorage, AK 99503
Phone (907) 227-4620

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1457780678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 DENALI ST STE 205",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034039",
            "telephone_number": "907-227-6167",
            "fax_number": "844-927-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 DENALI ST STE 205",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034039",
            "telephone_number": "907-227-6167",
            "fax_number": "844-927-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIPP",
        "first_name": "CODY",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-07",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AK",
            "license": "655",
            "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 Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.