NPIMap

Organization Active NPI

Life Coach Psychology PLC

  • Clinical Psychologist
  • Anchorage, AK
National Provider Identifier
1932497617
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
609 Issued in AK
Legal business name
LIFE COACH PSYCHOLOGY PLC
Practice address
3105 Lakeshore Dr
Suite B102
Anchorage, AK 99517-2806
Phone
(907) 330-9669
NPI assigned
Jul 15, 2011
Last updated
Dec 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Authorized official

Name
Harold B Smith, PSY D
Title
Owner
Phone
(907) 330-9669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 609 AK Primary

Addresses

Primary practice location

3105 Lakeshore Dr
Suite B102
Anchorage, AK 99517-2806

Mailing address

3105 Lakeshore Dr
Suite B102
Anchorage, AK 99517-2806
Phone (907) 330-9669

National Provider Directory

National Provider Directory

Locations

3105 Lakeshore Dr
Ste B102
Anchorage, AK 99517
Phone (907) 330-9669

6100 Omalley Rd
Anchorage, AK 99507
Phone (907) 330-9669

9067 US Highway 31
Ste 203
Berrien Springs, MI 49103
Phone (269) 471-9892

6794 S Westnedge Ave
Ste D
Portage, MI 49002
Phone (269) 815-5331

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1932497617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 LAKESHORE DR",
            "address_2": "SUITE B102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995172806",
            "telephone_number": "907-330-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 LAKESHORE DR",
            "address_2": "SUITE B102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995172806",
            "telephone_number": "907-330-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE COACH PSYCHOLOGY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-330-9669",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AK",
            "license": "609",
            "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 Dec 30, 2011; 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.