333 Psychological Management
Organization Active NPI Adult Mental Health Clinic/Center · Palmer, AK
NPI 1851958748 · NPPES record last updated Jul 7, 2023
Key facts
- NPI
- 1851958748
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Mental Health Clinic/Center 261QM0850X
- Legal business name
- 333 PSYCHOLOGICAL MANAGEMENT
- Practice address
- 634 S Bailey St Ste 104
Palmer, AK 99645-6360 - Phone
- (907) 467-3337
- Fax
- (907) 746-3336
- NPI assigned
- May 25, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Daniel G Davis, PSYD
- Title
- Psychologist
- Phone
- (907) 521-2888
Practitioners 2
-
Daniel G Davis, PSYD
-
Rae Ann Hendrickson, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190723002553 | AK | Part B Supplier - Clinic/Group Practice | 1557697968 |
Receives reassigned benefits from 1 practitioner Practice locations: Palmer, AK |
National Provider Directory
Locations
634 S Bailey St
Ste 104
Palmer, AK 99645
Phone (907) 521-2888
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Yes |
Addresses
Primary practice location
634 S Bailey St Ste 104
Palmer, AK 99645-6360
Mailing address
634 S Bailey St Ste 104
Palmer, AK 99645-6360
Phone (907) 467-3337
Other practice location 1
20434 N Granite Creek Ranch Rd
Sutton, AK 99674-9207
Phone (907) 521-2888
Other providers in Palmer, AK
- 1 Alliance Care Coordination LLC
- 1 Caring Family Home LLC
- 1918 Winter Street Operating Co LLC
- 5-D Corporation
- 7Thson Assisted Living
- A Hand Up Behavior Services
- Aaden E Aaberg
- Cheryl A. Abitz
All providers in Palmer, AK · Adult Mental Health Clinic/Center in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2023. 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.