Psychological Services Group, LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

125197 Issued in AK

Legal business name

PSYCHOLOGICAL SERVICES GROUP, LLC

Practice address

670 W Fireweed LN Ste 105
Anchorage, AK 99503-2562

Phone

(907) 268-1572

Fax

(907) 865-2474

NPI assigned

Apr 10, 2018

Organization subpart

No

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

Authorized official

Name

Kara Stocker, PSYDNPI 1245542448

Title

Psychologist

Phone

(517) 819-2506

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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

• Kara Stocker, PSY.D.

  • Clinical Neuropsychologist
  • Anchorage, AK
  • NPI 1245542448
  NPD Authorized official
• Jamie Kirkpatrick

  • Student in an Organized Health Care Education/Training Program
  • Anchorage, AK
  • NPI 1750140372
  NPD
• Ashley Nicole Doss, PHD

  • Psychologist
  • Anchorage, AK
  • NPI 1992345540
  NPD (past)

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1902303563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 W FIREWEED LN STE 105",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032562",
            "telephone_number": "907-268-1572",
            "fax_number": "907-865-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 W FIREWEED LN STE 105",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032562",
            "telephone_number": "907-268-1572",
            "fax_number": "907-865-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL SERVICES GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "STOCKER",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "517-819-2506",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "AK",
            "license": "125197",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Pruetting, LMT
• Alexis Victoria Pruitt
• Ellen Pryor, OTRL
• Psychiatric and Addiction Recovery Center of Alaska, LLC
• Psychological Services Group, LLC
• Psychology Resources, PC
• Psylogic Services
• Karen Louise Pudge, BSW
• Rodora Pugay
• Marilou Gelindon Pugeda

• All providers in Anchorage, AK
• Clinical Neuropsychologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.