Organization Active NPI

Beyondstable Psychiatry (Powered by Positive Disintegration) LLC

  • Psychiatry Physician
  • Anchorage, AK
National Provider Identifier
1811797103
Registry record updated Mar 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BEYONDSTABLE PSYCHIATRY (POWERED BY POSITIVE DISINTEGRATION) LLC
Practice address
3005 W 33Rd Ave Apt 4
Anchorage, AK 99517-2210
Phone
(907) 802-7040
NPI assigned
Mar 15, 2025
Last updated
Mar 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2025

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

Authorized official

Name
Adam January Jarczewski, MD
Title
Owner
Phone
(907) 802-7040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

3005 W 33Rd Ave Apt 4
Anchorage, AK 99517-2210

Mailing address

645 G St Ste 100
Anchorage, AK 99501-3471
Phone (907) 802-7040

National Provider Directory

National Provider Directory

Locations

645 G St
Ste 100
Anchorage, AK 99501

NPI Registry JSON

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

{
    "created_epoch": "1741996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741996800000",
    "number": "1811797103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 G ST STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013471",
            "telephone_number": "907-802-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 W 33RD AVE APT 4",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995172210",
            "telephone_number": "907-802-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYONDSTABLE PSYCHIATRY (POWERED BY POSITIVE DISINTEGRATION) LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-15",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A",
        "authorized_official_last_name": "JARCZEWSKI",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "JANUARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-802-7040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 15, 2025; 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.