GREATLAND MENTAL HEALTH, LLC


Address: 1407 W 31st Ave, Ste 201, Anchorage, AK 99503-3678
Phone: 9079294009

GREATLAND MENTAL HEALTH, LLC (NPI# 1477743532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477743532
Entity Type Organization
Organization Name GREATLAND MENTAL HEALTH, LLC
Practice Address 1407 W 31st Ave
Ste 201
Anchorage
AK 99503-3678
Mailing Address Po Box 111810
Anchorage
AK 99511-1810
Practice Telephone 9079294009
Practice Fax Number 9079294902
Mailing Telephone 9079294009
Mailing Fax Number 9079294902
Enumeration Date 2007-07-25
Last Update Date 2007-07-25
Authorized Official Name MS. THERESA M RONCO (BILLING MANAGER)
Authorized Official Telephone 9076327577
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AK MH3538 05

Office Location

Street Address 1407 W 31ST AVE
STE 201
City ANCHORAGE
State AK
Zip Code 99503-3678

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871697342 Cynthia Allen Ebelacker Registered Nurse 1407 W 31st Ave, Suite 201, Anchorage, AK 99503-3678 2006-09-12
1114275369 Dana B Brokofsky Counselor 1407 W 31st Ave, Ste. 400, Anchorage, AK 99503-3678 2012-08-20
1801174586 Family Diabetes Clinic Clinical Nurse Specialist 1407 W 31st Ave, Ste. 600, Anchorage, AK 99503-3678 2011-07-28
1679875819 Damon J Pemberton Social Worker 1407 W 31st Ave, Ste, 400, Anchorage, AK 99503-3678 2010-11-19
1649571142 Seeganna Psychiatric Services Nurse Practitioner 1407 W 31st Ave, Ste. 201d, Anchorage, AK 99503-3678 2010-11-15
1073847943 Cynthia Ebelacker, Anp Nurse Practitioner 1407 W 31st Ave, Ste 201, Anchorage, AK 99503-3678 2009-09-25
1700028727 Anne Marie Zack, Anp,co,apc Nurse Practitioner 1407 W 31st Ave, Ste.201, Anchorage, AK 99503-3678 2009-04-06
1821258815 Bruce Nairn Smith Psychologist 1407 W 31st Ave, Suite 602, Anchorage, AK 99503-3678 2008-06-12
1467674333 Anne Marie Zack Nurse Practitioner 1407 W 31st Ave, Suite 301, Anchorage, AK 99503-3624 2007-05-02
1801925599 Susan Lagrande Psychologist 1407 W 31st Ave, Suite 602, Anchorage, AK 99503-3624 2007-03-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164020772 Miladis Mcduffie Massage Therapist 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 2020-10-15
1447804984 Bethany Lynn Becker Optometrist 401 E. Northern Lights Blvd. Suite 102, Anchorage, AK 99503 2019-08-01
1265084933 Carr-gottstein Foods Co Durable Medical Equipment & Medical Supplies 2920 Seward Hwy, Anchorage, AK 99503 2019-07-12
1982268942 Rukiyia Smith Behavior Technician 205 E Northern Lights Blvd, Suite 110, Anchorage, AK 99503 2019-04-25
1245894310 Mary Kathleen Tate Specialist/Technologist 205 E. Northern Lights Blvd, Suite 110, Anchorage, AK 99503 2019-04-24
1194295766 Kimberly Sue Trent Registered Nurse 670 W. Fireweed Lane Suite 160, Anchorage, AK 99503 2018-11-27
1659869089 Alaska Spine & Pain Center, LLC Chiropractor 3901 Old Seward Hwy Ste 11, Anchorage, AK 99503 2018-05-01
1235643123 Rosanne Louise Klouda Massage Therapist 213 Fireweed Ln, Anchorage, AK 99503 2017-11-30
1801309042 Online Care Group Alaska General Practice 200 W. 34th Ave, Anchorage, AK 99503 2017-11-09
1548773849 Leslie K Michalski Massage Therapist 510 W Tudor Rd Ste 9, Anchorage, AK 99503 2017-11-08
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942781562 Anchorage Psychiatry Psychiatry & Neurology 1120 Huffman Rd Ste 24, Anchorage, AK 99515-3516 2018-08-22
1821453937 Dr, Deborah Guris LLC Psychiatry & Neurology 15630 Stanwood Cir, Anchorage, AK 99516-4866 2015-12-17
1225378664 Shirley Ann Saucerman Psychiatry & Neurology 336 W 10th Ave, Anchorage, AK 99501-3501 2013-02-21
1336408335 Melinda M Hansen Psychiatry & Neurology 4501 Diplomacy Drive, Southcentral Foundation, Anchorage, AK 99508-0000 2012-05-10
1548420920 Willow, LLC Psychiatry & Neurology 920 E 72nd Ave, Anchorage, AK 99518-2810 2008-06-10
1992987655 Jonathan Benaknin Psychiatry & Neurology Anchorage Native Primary Care Center, 4320 Diplomacy Drive, Anchorage, AK 99508 2007-12-04
1548452519 Clare Louise Maxwell Psychiatry & Neurology 1231 Gambell St Ste 300, Anchorage, AK 99501 2007-08-14
1447441944 Jay Hugh Ehly Psychiatry & Neurology 200 W 34th Ave, Pmb 1204, Anchorage, AK 99503-3969 2007-08-08
1609070374 Sarah Tighe Mccutcheon Psychiatry & Neurology Greatland Clinical Associates, 1400 W Benson Blvd Ste 315, Anchorage, AK 99503 2007-06-14
1881727923 Wandal William Winn Psychiatry & Neurology 4300 B St Ste 202, Anchorage, AK 99503-5951 2007-03-14
Find all providers in ANCHORAGE

Competitor

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City ANCHORAGE
Zip Code 99503

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Dataset Information

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.

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