MALCOLM SHAQUILLE BODISON (NPI# 1366040784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366040784 |
| Entity Type | Individual |
| Full Name | MALCOLM SHAQUILLE BODISON |
| Practice Address |
1251 Muldoon Rd Ste 116 Anchorage AK 99504-2098 |
| Practice Telephone | 1907274828 |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1251 MULDOON RD STE 116 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99504-2098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780893354 | Meghann Mcevoy | Counselor | 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 | 2007-05-21 |
| 1447859038 | Patricia Franco | Counselor | 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 | 2020-10-23 |
| 1427657253 | Mark Edward Arena | Counselor | 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 | 2020-10-22 |
| 1538768478 | Michael Lee Gray | Counselor | 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 | 2020-10-21 |
| 1427657576 | Leila Wilhelmina Spelman | Counselor | 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 | 2020-10-20 |
| 1447859715 | Brooke Levi Campbell | Counselor | 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 | 2020-10-19 |
| 1952909376 | Alexander Charles Pendrey | Social Worker | 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 | 2020-10-16 |
| 1629676192 | Harrison Mann | Peer Specialist | 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 | 2020-10-15 |
| 1871191510 | Dustin Mueller | Counselor | 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 | 2020-10-14 |
| 1679171441 | Jacalyn Linda Mckay | Counselor | 1251 Muldoon Rd Ste 116, Anchorage, AK 99504-2098 | 2020-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011593 | Deyoung Dentistry, LLC | Clinic/Center | 2601 Boniface Parkway Suite 1, Anchorage, AK 99504 | 2020-07-29 |
| 1881257475 | Tirzah Shelton | Psychologist | Veteran Affairs Clinic, 1201 North Muldoon, Anchorage, AK 99504 | 2019-04-18 |
| 1831651652 | Mekennah Ward | Massage Therapist | 7731 Northern Lights Blvd, #220, Anchorage, AK 99504 | 2019-04-01 |
| 1952883266 | Quality & Quantity Care Services LLC | Custodial Care Facility | 848 Elaine Dr, Anchorage, Ak, 99504, The Same, Anchorage, AK 99504 | 2018-09-04 |
| 1659858587 | Chloe Janelle Escalante | Psychologist | 511 Oaklahoma St., Apt 2, Anchorage, AK 99504 | 2018-07-24 |
| 1184100141 | Haa LLC | Durable Medical Equipment & Medical Supplies | 1409 Twining Dr, Anchorage, AK 99504 | 2018-07-12 |
| 1831626225 | Christian Wilfred, Thomas Garrett | Social Worker | 1201 N Mulddon Rd, Anchorage, AK 99504 | 2017-05-16 |
| 1609309954 | Rowena R Jones | Assisted Living Facility | 4009 Scenic View, Anchorage, AK 99504 | 2017-04-04 |
| 1982156733 | Agape Care Coordination LLC | Case Manager/Care Coordinator | 2050 Paxson Dr., Anchorage, AK 99504 | 2016-10-27 |
| 1649626169 | Pa Lou Vang | Registered Nurse | 7404 E 4th Ave Unit B, Anchorage, AK 99504 | 2016-05-13 |
| Find all providers in zip 99504 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710157 | Ida Brothers | Counselor | 2705 W 67th Ave, Anchorage, AK 99502-2222 | 2020-11-04 |
| 1831799287 | Martina A Diamond | Counselor | 3616 Peterkin Ave, Anchorage, AK 99508-1131 | 2020-10-27 |
| 1598362972 | Annette F Wilson | Counselor | 5674 Alora Loop, Anchorage, AK 99504-1050 | 2020-10-08 |
| 1386241917 | Jerome Donald Velcheff | Counselor | 719 Edward St # B, Anchorage, AK 99504-1664 | 2020-10-06 |
| 1386241313 | Lori Ann Velcheff | Counselor | 6800 Howard Ave, Anchorage, AK 99504-1870 | 2020-10-02 |
| 1063019107 | Katherine Patricia Jerue | Counselor | 632 W 15th Ave, Anchorage, AK 99501-5006 | 2020-10-01 |
| 1518584267 | Janna Harvey | Counselor | 2804 W Northern Lights Blvd Ste 280, Anchorage, AK 99517-3300 | 2020-06-29 |
| 1013547306 | Samuel Peterson | Counselor | 4600 Debarr Rd, Anchorage, AK 99508-3103 | 2020-01-25 |
| 1750911335 | Brandi Lyn Ropati-hunte | Counselor | 3406 Seppala Dr Unit B3406, Anchorage, AK 99517-1143 | 2020-01-22 |
| 1538704986 | Ashley Locke | Counselor | 880 H St Ste 201, Anchorage, AK 99501-3450 | 2019-11-08 |
| 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.