Alpine Relief Therapy LLC
Organization Active NPI Health Psychologist · Eagle River, AK
NPI 1801549795 · NPPES record last updated Feb 3, 2022
Key facts
- NPI
- 1801549795
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Psychologist 103TH0004X
- Legal business name
- ALPINE RELIEF THERAPY LLC
- Practice address
- 12110 Business Blvd Ste 6
Eagle River, AK 99577-7798 - Phone
- (908) 619-5656
- NPI assigned
- Jan 31, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Erin L Iwamoto, PSYD
- Title
- Licensed Psychologist
- Phone
- (907) 215-2501
Practitioners 1
-
Erin L Iwamoto, PSYD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220429001309 | AK | Part B Supplier - Clinic/Group Practice | 1456748060 |
Receives reassigned benefits from 1 practitioner Practice locations: Eagle River, AK |
National Provider Directory
Locations
12110 Business Blvd
Ste 6
Eagle River, AK 99577
Phone (907) 202-8301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Psychologist |
103TH0004X | Yes |
Addresses
Primary practice location
12110 Business Blvd Ste 6
Eagle River, AK 99577-7798
Mailing address
12110 Business Blvd Ste 6 #109
Eagle River, AK 99577-7798
Phone (907) 215-2501
Other providers in Eagle River, AK
- All About Counseling and Wellness Center
- Allen Dental Group LLC
- Bradford C Allen
- Alpenglow Counseling, LLC
- Alpenglow Dental Group LLC
- Madalynn Shea Alsup
- Anchorage Fracture and Orthopaedic Clinic, PC
- Anchorage Housecall Medicine LLC
- Anchorage Housecall Medicine LLC
- Anchorage Pediatric Night Clinic
All providers in Eagle River, AK · Health 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 Feb 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.