South Peninsula Behavioral Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

106280 Issued in AK

Legal business name

SOUTH PENINSULA BEHAVIORAL HEALTH

Practice address

3948 Ben Walters LN
Homer, AK 99603-7708

Phone

(190) 723-5770

NPI assigned

Jul 8, 2016

Organization subpart

No

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

Authorized official

Name

Kathy Carssow, LPA

Title

Director

Phone

(907) 235-3738

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1689026064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3948 BEN WALTERS LN",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037708",
            "telephone_number": "190-723-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3948 BEN WALTERS LN",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037708",
            "telephone_number": "190-723-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PENINSULA BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "CARSSOW",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "19072353738",
        "authorized_official_credential": "LPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AK",
            "license": "106280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold Clifford Smith III, MD
• Heidi J Smith, RN
• Rhema Fay Smith, MASSAGE THERAPIST
• Steven Smith
• Sound View Assisted Living, Inc.
• South Peninsula Behavioral Health Services Inc
• South Peninsula Behavioral Health SVCS Inc
• South Peninsula General Surgery LLC
• South Peninsula Hospital, Inc
• South Peninsula Hospital, Inc

• Community/Behavioral Health Agency in Homer, AK
• Providers in Homer, AK by specialty
• Community/Behavioral Health Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.