Organization Active NPI

Slumber Solutions

  • Clinical Psychologist
  • Fairbanks, AK
National Provider Identifier
1770772345
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
01798 Issued in MO
Legal business name
SLUMBER SOLUTIONS
Practice address
1901 Airport Way
Fairbanks, AK 99701
Phone
(907) 420-0540
Fax
(314) 256-2901
NPI assigned
Oct 19, 2007
Last updated
Jul 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Authorized official

Name
Dr. Angie Randazzo, PH.D.
Title
Director
Phone
(314) 863-8550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 01798 MO Primary

Addresses

Primary practice location

1901 Airport Way
Fairbanks, AK 99701

Mailing address

225 S Meramec Ave
Clayton, MO 63105-3511
Phone (314) 580-4691

Other names 1

  • Angie Randazzo, Ph.D. Other name

National Provider Directory

National Provider Directory

Locations

1901 Airport Way
Fairbanks, AK 99701
Phone (907) 420-0540

225 S Meramec Ave
Saint Louis, MO 63105
Phone (314) 540-4850

225 S Meramec Ave
Ste 321T
Saint Louis, MO 63105
Phone (314) 580-4691

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1770772345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S MERAMEC AVE",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053511",
            "telephone_number": "314-580-4691",
            "fax_number": "314-863-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 AIRPORT WAY",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "99701",
            "telephone_number": "907-420-0540",
            "fax_number": "314-256-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLUMBER SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "RANDAZZO",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-863-8550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "01798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angie Randazzo, Ph.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.