333 PSYCHOLOGICAL MANAGEMENT (NPI# 1851958748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851958748 |
| Entity Type | Organization |
| Organization Name | 333 PSYCHOLOGICAL MANAGEMENT |
| Practice Address |
634 S Bailey St Ste 104 Palmer AK 99645-6360 |
| Practice Telephone | 9074673337 |
| Practice Fax Number | 9077463336 |
| Mailing Telephone | 9074673337 |
| Mailing Fax Number | 9077463336 |
| Enumeration Date | 2019-05-25 |
| Last Update Date | 2019-07-23 |
| Authorized Official Name | DR. DANIEL G DAVIS (PSYCHOLOGIST) |
| Authorized Official Telephone | 9075212888 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20434 N Granite Creek Ranch Rd, Sutton, AK 996749207 | 9075212888 |
| Street Address |
634 S BAILEY ST STE 104 |
| City | PALMER |
| State | AK |
| Zip Code | 99645-6360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376825133 | Daniel G Davis | Counselor | 634 S Bailey St Ste 104, Palmer, AK 99645-6360 | 2011-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
| 1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
| 1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
| 1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
| 1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
| 1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
| 1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
| 1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
| 1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
| 1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
| Find all providers in zip 99645 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649888298 | Finding Your Way Psychological Services, Inc. | Clinic/Center | 5428 E 97th Ave, Anchorage, AK 99507-6618 | 2020-07-20 |
| 1770126989 | Widening Circles LLC | Clinic/Center | 379 W Katmai Ave, Soldotna, AK 99669-7315 | 2019-10-21 |
| 1841758752 | Coastal Wellness and Counseling, LLC | Clinic/Center | 1130 W 6th Ave Ste 101, Anchorage, AK 99501-1903 | 2019-03-10 |
| 1003342288 | Pacific Rim Counseling, Inc. | Clinic/Center | 1211 Cushman St Ste 200, Fairbanks, AK 99701-4680 | 2017-05-05 |
| 1922436732 | Jc Faith Open Arms 1 | Clinic/Center | 1023 State St Unit A, Anchorage, AK 99504-2038 | 2013-10-15 |
| 1356782940 | Parker Too Alh | Clinic/Center | 1310 Valley St Unit A, Anchorage, AK 99504-2261 | 2013-07-11 |
| 1346585056 | Yukon-kuskokwim Health Corporation | Clinic/Center | 528 Cheif Eddie Hoffmen, Yukon-kuskokwim Health Corporation, Bethel, AK 99559-0528 | 2012-12-06 |
| 1801168620 | Mckenzie Assisted Living | Clinic/Center | 8812 Hamlet Circle, 8812 Hamlet Circle, Anchorage, AK 99502 | 2012-02-09 |
| 1477869386 | Scott Mccaleb Counseling Service | Clinic/Center | 7516 Eastbrook Cir, Anchorage, AK 99504-3568 | 2010-08-30 |
| 1356551063 | Tok Area Mental Health Council, Inc. | Clinic/Center | W.1st Street, Suite 8, Tok, AK 99780-0398 | 2007-05-23 |
| 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.