NPIMap

Organization Active NPI

State of Alaska Department of Administration

Doing business as Alaska Psychiatric Institute

  • Psychiatric Hospital
  • Anchorage, AK
National Provider Identifier
1497842553
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
STATE OF ALASKA DEPARTMENT OF ADMINISTRATION
Doing business as
Alaska Psychiatric Institute
Practice address
3700 Piper St
Anchorage, AK 99508-4665
Phone
(907) 269-7100
Fax
(907) 269-7251
NPI assigned
Oct 9, 2006
Last updated
Apr 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Marie E. (Melissa) Ring, PH.D.
Title
Ceo
Phone
(907) 269-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

3700 Piper St
Anchorage, AK 99508-4665

Mailing address

3700 Piper St.
Anchorage, AK 99508
Phone (907) 269-7100

Other names 1

  • Alaska Psychiatric Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040203000267 AK Part B Supplier - Clinic/Group Practice 5395638571 Receives reassigned benefits from 37 practitioners
Practice locations: Anchorage, AK
O20051107001171 AK Part A Provider - Hospital 5395638571 Practice locations: Anchorage, AK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497842553. Details of each certification follow.

Hospital certification: CCN 024002

Legal name
STATE OF ALASKA DEPARTMENT OF ADMINISTRATION
Doing business as
ALASKA PSYCHIATRIC INSTITUTE
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Dec 15, 1985
Last certification
Jun 7, 2019
Beds
95
Ownership / control type
State
Organization structure
GovernmentNon-profit
Incorporated
Jul 1, 1962 in AK
Enrollment address
3700 Piper St
Anchorage, AK 99508-4665
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Alaska Psychiatric InstituteCCN 024002 · All quality measures
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Locations

3700 Piper St
Anchorage, AK 99508
Phone (907) 269-7100

1025 W Barnette St
Fairbanks, AK 99701
Phone (907) 451-1653

195 E Bunnell Ave
#C
Homer, AK 99603
Phone (907) 235-8857

3412 Glacier Hwy
Juneau, AK 99801
Phone (907) 465-1255

630 Barnacle Way
#A
Kenai, AK 99611
Phone (907) 335-3400

3054 Fifth Ave
Ketchikan, AK 99901
Phone (907) 225-4350

210 Moller Ave
Sitka, AK 99835
Phone (907) 747-3255

3223 E Palmer Wasilla Hwy
Ste 3
Wasilla, AK 99654
Phone (907) 352-6600

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lezlee T Henry-Dupuox Individual Corporate OfficerCoo May 13, 2019
W-2 Managing EmployeeCoo Sep 1, 2019
Scott York Individual Corporate OfficerCeo Mar 23, 2020
Gavin H Carmichael Individual Corporate OfficerC.O.O. Sep 17, 2018
W-2 Managing EmployeeC.O.O. Sep 17, 2018
State of Alaska Department of Administration Organization, Anchorage, AK Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
5% Or Greater Mortgage Interest Jan 1, 1966 100%
5% Or Greater Security Interest Jan 1, 1966 100%
Operational/Managerial Control Jan 1, 1966 100%
James L Farley Individual Corporate OfficerCfo Sep 1, 2019
Erica L Steeves Individual Corporate OfficerQ.a.P.I. Sep 20, 2019
W-2 Managing EmployeeQ.a.P.I. Sep 1, 2019
Duane G Mayes Individual Corporate DirectorCeo Sep 17, 2018 100%
Tina M Williams Individual Corporate OfficerC.F.O. Sep 17, 2018
W-2 Managing EmployeeC.F.O. Sep 17, 2018

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 217

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 217

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1497842553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 PIPER ST.",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-269-7100",
            "fax_number": "907-269-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 PIPER ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084665",
            "telephone_number": "907-269-7100",
            "fax_number": "907-269-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ALASKA DEPARTMENT OF ADMINISTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "RING",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "E. (MELISSA)",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-269-7100",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alaska Psychiatric Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.