Organization Active NPI

Homer Psychological Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Homer, AK
National Provider Identifier
1831254283
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
308943 Issued in AK
Legal business name
HOMER PSYCHOLOGICAL SERVICES
Practice address
323 Soundview Ave
Homer, AK 99603-7418
Phone
(907) 235-4123
Fax
(907) 235-4771
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Dr. John Sutton-GamacheNPI 1467501734
Title
Director
Phone
(907) 235-4123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 308943 AK Primary

Addresses

Primary practice location

323 Soundview Ave
Homer, AK 99603-7418

Mailing address

323 Soundview Ave
Homer, AK 99603-7418
Phone (907) 235-4123

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1831254283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 SOUNDVIEW AVE",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037418",
            "telephone_number": "907-235-4123",
            "fax_number": "907-235-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 SOUNDVIEW AVE",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037418",
            "telephone_number": "907-235-4123",
            "fax_number": "907-235-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMER PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "SUTTON-GAMACHE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "907-235-4123",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AK",
            "license": "308943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.