Calmkey Telehealth Connection LLC
Organization Active NPI Clinical Psychologist · Fairbanks, AK
NPI 1639804263 · NPPES record last updated Mar 10, 2025
Key facts
- NPI
- 1639804263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- CALMKEY TELEHEALTH CONNECTION LLC
- Practice address
- 4001 Geist Rd Ste 12
Fairbanks, AK 99709-3569 - Phone
- (907) 378-8702
- Fax
- (907) 328-4006
- NPI assigned
- Jul 18, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Rebekah Burket, PH.D.
- Title
- Owner
- Phone
- (907) 378-8702
Practitioners 1
-
Rebekah L. Burket, PH.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220907001240 | AK | Part B Supplier - Clinic/Group Practice | 8921482167 |
Receives reassigned benefits from 1 practitioner Practice locations: Fairbanks, AK |
National Provider Directory
Locations
565 University Ave
Ste 4E
Fairbanks, AK 99709
Phone (907) 378-8702
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes |
Addresses
Primary practice location
4001 Geist Rd Ste 12
Fairbanks, AK 99709-3569
Mailing address
PO Box 82264
Fairbanks, AK 99708-2264
Phone (907) 378-8702
Other providers in Fairbanks, AK
- Cassia Calhoun
- Natalie Calhoun
- Shalanda Calhoun
- Adiella Callahan
- Leslie Callaway
- Laura Gayle Calvert
- Michaela Cameron
- Katherine E Cammack
- Brittany Ann Cammon
- Colin Emile Stafford Campbell
All providers in Fairbanks, 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 Mar 10, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.