PSYCHOLOGICAL SERVICES GROUP, LLC (NPI# 1215587001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215587001 |
| Entity Type | Organization |
| Organization Name | PSYCHOLOGICAL SERVICES GROUP, LLC |
| Practice Address |
707 A St Ste 115 Anchorage AK 99501-3600 |
| Practice Telephone | 9072681572 |
| Practice Fax Number | 9078652474 |
| Mailing Telephone | 9072681572 |
| Mailing Fax Number | 9078652474 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |
| Authorized Official Name | KARA STOCKER (NEUROPSYCHOLOGIST) |
| Authorized Official Telephone | 9072681572 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1682393 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902303563 | Psychological Services Group, LLC | Clinical Neuropsychologist | 707 A St Ste 115, Anchorage, AK 99501-3600 | 2018-04-10 |
| Street Address |
707 A ST STE 115 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99501-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245542448 | Kara Stocker | Clinical Neuropsychologist | 707 A St Ste 115, Anchorage, AK 99501-3600 | 2010-07-06 |
| 1992345540 | Ashley Nicole Doss | Psychologist | 707 A St Ste 115, Anchorage, AK 99501-3600 | 2020-01-12 |
| 1902303563 | Psychological Services Group, LLC | Clinical Neuropsychologist | 707 A St Ste 115, Anchorage, AK 99501-3600 | 2018-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093304 | Ryan Garcia | Military Health Care Provider | 673d Med Group, Jber, AK 99501 | 2020-11-02 |
| 1033755798 | The Salvation Army, A California Corporation | Community/Behavioral Health | 1700 A Street, Anchorage, AK 99501 | 2019-11-18 |
| 1740841170 | Christina Lynne Arent Cook | Registered Nurse | 8000 West End Rd, Anchorage, AK 99501 | 2019-06-26 |
| 1033770672 | Kathy Eileen Mailelle | Behavior Technician | 8000 West End Road, Anchorage, AK 99501 | 2019-06-25 |
| 1306312574 | Patricia Estella Gould | Marriage & Family Therapist | 731 N St, Anchorage, AK 99501 | 2018-10-15 |
| 1497235642 | Beth Alta Fletcher | Specialist | 737 W 5th Ave Ste 202, Anchorage, AK 99501 | 2018-08-17 |
| 1699289645 | Jae Won Lee | Dentist | 726 E. 9th Avenue, Anchorage, AK 99501 | 2017-11-29 |
| 1649797796 | Seong Guy Hyung | Dentist | 726 E 9th Avenue, Anchorage, AK 99501 | 2017-08-29 |
| 1871952705 | Warren Anderson | Massage Therapist | 737 West 5th Avenue Suite 202, Anchorage, AK 99501 | 2016-02-20 |
| 1780072603 | Epoch - Alaska Limited Liability Company | General Practice | 3074 Mt. View Drive, Suite 193, Anchorage, AK 99501 | 2014-12-30 |
| Find all providers in zip 99501 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245542448 | Kara Stocker | Clinical Neuropsychologist | 707 A St Ste 115, Anchorage, AK 99501-3600 | 2010-07-06 |
| 1962526517 | Keith A. Youngblood | Clinical Neuropsychologist | 7331 Clairborne Dr, Anchorage, AK 99502-7119 | 2007-03-19 |
| 1477685246 | Paul L Craig | Clinical Neuropsychologist | 4048 Laurel St Ste 102, Anchorage, AK 99508-5389 | 2007-03-09 |
| 1326095837 | Russell S Cherry | Clinical Neuropsychologist | 4241 B St, Suite 202, Anchorage, AK 99503-5920 | 2006-05-28 |
| 1700865029 | Kristi H Fuller | Clinical Neuropsychologist | 2600 Denali St, Suite 450, Anchorage, AK 99503-2746 | 2006-01-13 |
| 1902303563 | Psychological Services Group, LLC | Clinical Neuropsychologist | 707 A St Ste 115, Anchorage, AK 99501-3600 | 2018-04-10 |
| 1235570979 | Sandra M Mitchell | Clinical Neuropsychologist | 1100 E Dimond Blvd, Anchorage, AK 99515-2010 | 2013-07-10 |
| 1659689222 | Alaska Neuro Associates, LLC | Clinical Neuropsychologist | 4241 B St, Suite 202, Anchorage, AK 99503-5920 | 2010-09-17 |
| 1366759003 | Erica Coady | Clinical Neuropsychologist | 3760 Piper St Ste 1108, Anchorage, AK 99508-4683 | 2010-09-01 |
| 1578572947 | Richard Daniel Fuller | Clinical Neuropsychologist | 2600 Denali St, Suite 450, Anchorage, AK 99503-2746 | 2006-08-05 |
| Find all providers in ANCHORAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.