Psychiatric & Counseling Services in Wasilla - Clinical Child & Adolescent
Psychiatric & Counseling Services - NPI 1023128162
Psychiatric & Counseling Services is a Clinical Child & Adolescent in Wasilla, Alaska. Psychiatric & Counseling Services practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Psychiatric & Counseling Services is 1023128162. The last update date is 2020-08-22.
Psychiatric & Counseling Services's current location address is 5431 Mayflower Ln, Wasilla, Alaska. You can contact this provider via phone number 9073769369 and fax number 9073769363. The mailing address for Psychiatric & Counseling Services is 5431 Mayflower Ln, Wasilla, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Psychiatric & Counseling Services |
|---|---|
| Address | 5431 Mayflower Ln, Wasilla, Alaska |
| Phone Number | 9073769369 |
| Fax Number | 9073769363 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ames Mark |
| Credentials | MS.,MN.,AN |
| Telephone Number | 9073769369 |
NPI Number Detail
| NPI Number | 1023128162 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5431 Mayflower Ln |
|---|---|
| City | Wasilla |
| State | Alaska (AK) |
| Post Code | 996547817 |
| Phone Number | 9073769369 |
| Fax Number | 9073769363 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 752 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NP07521 | AK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Psychiatric & Counseling Services by the Centers for Medicare & Medicaid Services?
The Psychiatric & Counseling Services has been assigned the NPI (National Provider Identifier) 1023128162. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Psychiatric & Counseling Services is physically located?
The Psychiatric & Counseling Services is physically situated at the following address: 5431 Mayflower Ln, Wasilla, AK, 996547817.
What is Psychiatric & Counseling Services's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Psychiatric & Counseling Services is Clinical Child & Adolescent, and the taxonomy classification code that categorizes this area of expertise is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023128162 to Psychiatric & Counseling Services?
The Centers for Medicare & Medicaid Services originally issued the 1023128162 to Psychiatric & Counseling Services on 2006-08-30.
When was the information regarding Psychiatric & Counseling Services, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Psychiatric & Counseling Services, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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