BETHANNE K CLARY (NPI# 1629151451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629151451 |
| Entity Type | Individual |
| Full Name | BETHANNE K CLARY |
| Credential | PSY.D. |
| Practice Address |
1825 Academy Dr Anchorage AK 99507-5391 |
| Mailing Address |
8663 Spruce Brook St Anchorage AK 99507-4934 |
| Practice Telephone | 9075227080 |
| Practice Fax Number | 9075227088 |
| Mailing Telephone | 9076441027 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
556 | AK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | PSYCHOLOGIST LICENSE # | 556 | 01 |
| Street Address |
1825 ACADEMY DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99507-5391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962477638 | James E Frey | Physician Assistant | 1825 Academy Dr, Anchorage, AK 99507-5391 | 2006-02-17 |
| 1275165763 | Janet Dorsch Huff | Counselor | 1825 Academy Dr, Anchorage, AK 99507-5391 | 2020-02-12 |
| 1699323436 | Brenda L Beaty | Massage Therapist | 1825 Academy Dr, Anchorage, AK 99507-5391 | 2019-08-26 |
| 1336600881 | David Barringer | Counselor | 1825 Academy Dr, Anchorage, AK 99507-5391 | 2019-03-27 |
| 1821581463 | Celeste Shumate | Nurse Practitioner | 1825 Academy Dr, Anchorage, AK 99507-5391 | 2018-06-08 |
| 1841781556 | Marc A Toro | Counselor | 1825 Academy Dr, Anchorage, AK 99507-5391 | 2018-05-29 |
| 1821589995 | Keri Ann Chandler | Counselor | 1825 Academy Dr, Anchorage, AK 99507-5391 | 2018-05-24 |
| 1235635558 | Lydia Jane Koch | Counselor | 1825 Academy Dr, Anchorage, AK 99507-5391 | 2018-04-04 |
| 1417453119 | Emily Lewis | Counselor | 1825 Academy Dr, Anchorage, AK 99507-5391 | 2018-04-02 |
| 1386152510 | Elizabeth Ann Merrill-bauer | Counselor | 1825 Academy Dr, Anchorage, AK 99507-5391 | 2018-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634233 | Mackena Elsie Johnson | Massage Therapist | Sports & Spinal Injury Clinic, 6634 Lake Otis Pkwy #a, Anchorage, AK 99507 | 2020-09-23 |
| 1710599808 | Abracadabra Speech LLC | Speech-Language Pathologist | 6823 Tudor Road, Anchorage, AK 99507 | 2020-08-19 |
| 1487111241 | Fe Comon | Nursing Home Administrator | 1841 E 57th Ave., 1841 E 57th Ave., Anchorage, AK 99507 | 2019-02-27 |
| 1780171249 | Carol Won | Pharmacist | 2550 E. 88th Ave., Anchorage, AK 99507 | 2018-04-19 |
| 1821549411 | Isioma Nwaeme | Registered Nurse | 2529 Rives Court, Anchorage, AK 99507 | 2016-10-18 |
| 1669921268 | Michaelyn Scott | Massage Therapist | 1601 E. Dimond Blvd., Suite 201, Anchorage, AK 99507 | 2016-09-25 |
| 1013387638 | Robert R Croley | Case Manager/Care Coordinator | 1515 E Tudor Rd Ste 6, Anchorage, AK 99507 | 2015-09-25 |
| 1124494265 | Ryan Scott Fordt | Chiropractor | 2665 E Tudor Rd Ste 201, Anchorage, AK 99507 | 2015-08-12 |
| 1073907465 | Sarah E Lawrence | Case Manager/Care Coordinator | 1750 Abbott Road, Alzheimer's Resource of Alaska, Anchorage, AK 99507 | 2015-03-24 |
| 1699184507 | Melissa Lingad | Nurse's Aide | 7691 Winchester St., Anchorage, AK 99507 | 2014-08-05 |
| Find all providers in zip 99507 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659911766 | Matthew James Vogler | Psychologist | 3340 Providence Dr Ste 565, Anchorage, AK 99508-4643 | 2020-01-07 |
| 1538640537 | Rachel Suzanne Woods | Psychologist | 2600 Denali St Ste 450, Anchorage, AK 99503-2754 | 2018-08-27 |
| 1003304346 | James Kyle Timmons | Psychologist | 1020 Potlatch Cir, Anchorage, AK 99503-1728 | 2018-04-23 |
| 1679990279 | Daniel Lord | Psychologist | 600 Richardson Drive Community Center, Fort Richardson, Anchorage, AK 99505 | 2014-03-21 |
| 1457780678 | Cody Chipp | Psychologist | 1131 E International Rd, Anchorage, AK 99518-1408 | 2013-11-07 |
| 1932497617 | Life Coach Psychology Plc | Psychologist | 3105 Lakeshore Dr, Suite B102, Anchorage, AK 99517-2806 | 2011-07-15 |
| 1891085007 | Terri Draper | Psychologist | 4320 Diplomacy Drive, Suite 1500, Anchorage, AK 99508 | 2011-04-10 |
| 1720383185 | Nicole Levaillant | Psychologist | Building 786 D Street, Anchorage, AK 99505 | 2011-01-17 |
| 1013150168 | Sally Schliesmann | Psychologist | 2846 Redwood Pl, Anchorage, AK 99508-4210 | 2009-04-18 |
| 1457597767 | Jana Hoan Zeedyk | Psychologist | 2549 Cottonwood St, Anchorage, AK 99508-3933 | 2008-12-17 |
| 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.