Gerald L Alatelo, PSYD
Individual provider Active NPI Clinical Psychologist · Anchorage, AK
NPI 1770528234 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1770528234
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 438 (AK)
- Practice address
- 4105 Tudor Centre Dr
Anchorage, AK 99508-5902 - Phone
- (907) 565-4000
- Fax
- (907) 565-4011
- NPI assigned
- Jun 18, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 438 | AK | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 438 | AK | Yes |
Addresses
Primary practice location
4105 Tudor Centre Dr
Anchorage, AK 99508-5902
Mailing address
4105 Tudor Centre Dr
Anchorage, AK 99508-5902
Phone (907) 565-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH6578 | Medicaid | AK |
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All providers in Anchorage, 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 Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.