Individual provider Active NPI

Cindy Kingry Westergaard, PHD

  • Clinical Neuropsychologist
  • Sitka, AK
National Provider Identifier
1669474136
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
462 Issued in AK
Practice address
201 Lincoln Street Suite 3
209 Moller Drive
Sitka, AK 99835
Phone
(907) 747-3743
Fax
(907) 747-3130
NPI assigned
Aug 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 462 AK Primary

Addresses

Primary practice location

201 Lincoln Street Suite 3
209 Moller Drive
Sitka, AK 99835

Mailing address

300 Harbor Dr
Sitka, AK 99835-7553
Phone (907) 747-3743

Other identifiers 1

IdentifierTypeStateIssuer
PS4254MedicaidAK

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
I20051003000365 AK Practitioner - Clinical Psychologist 5698760973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Harbor Dr
Sitka, AK 99835-7553
Phone (907) 747-3743

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
462AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurobehavioral Consultants LLC CurrentSince Jul 16, 2001 Accepting new patients

Locations

201 Lincoln St
Ste 3
Sitka, AK 99835
Phone (907) 747-3351

201 Lincoln St
Ste 1
Sitka, AK 99835
Phone (907) 747-3743

300 Harbor Dr
Sitka, AK 99835
Phone (907) 747-3743

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1669474136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HARBOR DR",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998357553",
            "telephone_number": "907-747-3743",
            "fax_number": "907-747-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LINCOLN STREET SUITE 3",
            "address_2": "209 MOLLER DRIVE",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "99835",
            "telephone_number": "907-747-3743",
            "fax_number": "907-747-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTERGAARD",
        "first_name": "CINDY",
        "middle_name": "KINGRY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AK",
            "license": "462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PS4254",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sitka, AK

Sources for this page

Verify at the official NPI Registry.