Kevin Alexander Stickney Halvorsen
Individual provider Active NPI Clinical Psychologist · Anchorage, AK
NPI 1780340901 · NPPES record last updated Mar 16, 2026
Key facts
- NPI
- 1780340901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 208193 (AK)
- Practice address
- 3135 Delta Dr
Anchorage, AK 99502-4449 - Phone
- (907) 952-8158
- NPI assigned
- Nov 11, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208193 | AK | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intrepid Psychological Services LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 208193 | AK | Yes |
Addresses
Primary practice location
3135 Delta Dr
Anchorage, AK 99502-4449
Mailing address
3135 Delta Dr
Anchorage, AK 99502-4449
Phone (907) 952-8158
Other practice location 1
1131 E International Airport Rd
Anchorage, AK 99518-1408
Phone (907) 276-2700 ext. 730
Other providers in Anchorage, AK
- Tasha Halsema
- Emma Julene Halsey
- Kelly Ann Halter
- Luke Halter
- Dewayne Halverson
- Tara Eileen Haman
- James H Hamblin
- Matthew Hamby
- Darrel T. Hamel
- Gwen Lee Hamilton
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 Mar 16, 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.