DR. MARJORIE TERESA KYLE (NPI# 1487696795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487696795 |
| Entity Type | Individual |
| Full Name | DR. MARJORIE TERESA KYLE |
| Other Name | DR. MARJORIE TERESA KYLE |
| Credential | PSY.D. |
| Practice Address |
4982 Zukert Ave Rm 126 Jber AK 99505 |
| Mailing Address |
3705 Arctic Blvd # 406 Anchorage AK 99503-5774 |
| Practice Telephone | 9075800715 |
| Practice Fax Number | 9075800629 |
| Mailing Telephone | 6072302190 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
628 | AK | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
31369 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | BOARD OF PSYCHOLOGIST | 628 | 01 |
| TX | 1724726 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4982 Zukert Ave, Rm 126, Jber, AK 99505 | 9075800715 | 9075800629 |
| Street Address |
4982 ZUKERT AVE RM 126 |
| City | JBER |
| State | AK |
| Zip Code | 99505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134763378 | Idris Usman | Social Worker | 786 D St., Jber-richardson, AK 99505 | 2019-10-31 |
| 1114578572 | Matthew Coddington | Physical Therapist | Jber Soldier Centered Medical Home, Building 786, D Street, Jber, AK 99505 | 2019-09-26 |
| 1801362132 | Jolene Danielle Sletten | Audiologist | Soldier Centered Medical Home-u.s. Army, 786 D Street, Joint Base Elemendorf-richardson, AK 99505 | 2018-10-14 |
| 1700322773 | Joshua Hatch | Physician Assistant | Bldg 786 D St., Jber, AK 99505 | 2017-01-13 |
| 1578912598 | Jacob Shook | Family Medicine | Medac 7860, Joint Base Elmendorf Richardson, AK 99505 | 2016-06-09 |
| 1699130963 | Tracy Mumbulo | Licensed Practical Nurse | 208 Akutan Ave Unit A, Jber, AK 99505 | 2015-12-30 |
| 1609294933 | Benjamin E. Thompson | Physician Assistant | Jber Scmh, Bldg 786 D St, Jber, AK 99505 | 2014-04-03 |
| 1679990279 | Daniel Lord | Psychologist | 600 Richardson Drive Community Center, Fort Richardson, Anchorage, AK 99505 | 2014-03-21 |
| 1598199028 | Nina Rodriguez | General Practice | 786 D St, Jber, AK 99505 | 2013-09-03 |
| 1720383185 | Nicole Levaillant | Psychologist | Building 786 D Street, Anchorage, AK 99505 | 2011-01-17 |
| Find all providers in zip 99505 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257475 | Tirzah Shelton | Psychologist | Veteran Affairs Clinic, 1201 North Muldoon, Anchorage, AK 99504 | 2019-04-18 |
| 1720162332 | Elaine Ponchione | Psychologist | 250 Cushman St Ste 3c, Fairbanks, AK 99701-4665 | 2006-10-24 |
| 1366547465 | Jerline Jackson | Psychologist | 6721 Howard Ave, Anchorage, AK 99504-1896 | 2006-09-13 |
| 1700416633 | Kuupuamakamae Naluai | Psychologist | 4600 Abbott Rd, Anchorage, AK 99507-4314 | 2020-01-20 |
| 1811536113 | Hats of Wisdom | Psychologist | Mile 266.5 Richardson Hwy, Delta Junction, AK 99737-0809 | 2020-01-03 |
| 1184263741 | Alaska Telepsychology | Psychologist | 401 E Fireweed Ln Ste 201, Anchorage, AK 99503-2100 | 2019-12-31 |
| 1114562949 | Samantha Rene Murphy | Psychologist | 3524 Industrial Ave, Fairbanks, AK 99701-7376 | 2019-11-15 |
| 1053955427 | Marc Steven Dutch | Psychologist | 1131 E International Airport Rd, Anchorage, AK 99518-1408 | 2019-10-29 |
| 1851889919 | Jason D Perez | Psychologist | 3406 Glacier Hwy, Juneau, AK 99801-7251 | 2018-04-24 |
| 1881145134 | Jennifer Jepson | Psychologist | 517 W Northern Lights Blvd, Anchorage, AK 99503-2503 | 2016-10-21 |
| Find all providers with the same taxonomy | ||||
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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.