Active NPI
Haven Alaksa Inc
Doing business as Haven
- Psychiatry Physician
- Anchorage, AK
National Provider Identifier
1699252577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 118712
- Legal business name
- HAVEN ALAKSA INC
- Doing business as
- Haven
- Practice address
- 419 L St
Anchorage, AK 99501-1924 - Phone
- (907) 272-4411
- Fax
- (907) 272-4412
- NPI assigned
- Jul 24, 2018
- Last updated
- Jul 24, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dave Guthrie, PASTOR
- Title
- Director
- Phone
- (907) 272-4411
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 118712 | AK | Primary |
| Addiction Psychiatry Physician | 2084P0802X | 118712 | AK | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 118712 | AK | |
| Multi-Specialty Clinic/Center | 261QM1300X | NU | ||
| Medical Physician Assistant | 363AM0700X | AK |
Addresses
Primary practice location
419 L St
Anchorage, AK 99501-1924
Mailing address
419 L St
Anchorage, AK 99501-1924
Phone (907) 272-4411
Other names 1
- Haven
National Provider Directory
National Provider DirectoryLocations
419 L St
Anchorage, AK 99501
Phone (907) 272-4411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1532390400000",
"number": "1699252577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 L ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995011924",
"telephone_number": "907-272-4411",
"fax_number": "907-272-4412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 L ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995011924",
"telephone_number": "907-272-4411",
"fax_number": "907-272-4412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAVEN ALAKSA INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-24",
"last_updated": "2018-07-24",
"status": "A",
"authorized_official_last_name": "GUTHRIE",
"authorized_official_first_name": "DAVE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "907-272-4411",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PASTOR"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AK",
"license": "118712",
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "AK",
"license": "118712",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "AK",
"license": "118712",
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AK",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Haven",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Haven",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.