Active NPI
Danelle R Winn, PHD
- Clinical Psychologist
- Anchorage, AK
National Provider Identifier
1992078836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 511
- Practice address
- 4325 Laurel St
297
Anchorage, AK 99508-5364 - Phone
- (907) 561-1566
- Fax
- (907) 562-0780
- NPI assigned
- Feb 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 511 | AK | Primary |
Addresses
Primary practice location
4325 Laurel St
297
Anchorage, AK 99508-5364
Mailing address
4325 Laurel St
297
Anchorage, AK 99508-5364
Phone (907) 561-1566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 511 | AK | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1992078836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4325 LAUREL ST",
"address_2": "297",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085364",
"telephone_number": "907-561-1566",
"fax_number": "907-562-0780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4325 LAUREL ST",
"address_2": "297",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085364",
"telephone_number": "907-561-1566",
"fax_number": "907-562-0780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINN",
"first_name": "DANELLE",
"middle_name": "R",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-22",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AK",
"license": "511",
"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 Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.