Organization Active NPI

Haven Alaksa Inc

Doing business as Haven

  • Psychiatry Physician
  • Anchorage, AK
National Provider Identifier
1699252577
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
118712 Issued in AK
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.