Northern Psychology Resources Llc
LBN: Northern Psychology Resources Llc
Northern Psychology Resources Llc is an health care organization with primary practice located at 215 Fidalgo Ave , Kenai AK 99611-7751. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is the primary health care specialty.
Northern Psychology Resources Llc can be contacted via phone (307) 335-4466, or through Bock, Jacqueline Dawn via phone (907) 335-4466.
Contact Information
Primary practice address
215 Fidalgo Ave
Kenai AK 99611-7751
Phone: (307) 335-4466
Fax: (907) 335-4467
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 561 | Alaska |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 561 | Alaska |
Profile Details
| NPI number | 1104966183 |
|---|---|
| LBN Legal business name | Northern Psychology Resources Llc |
| DBA Doing business as | |
| Authorized official | Bock, Jacqueline Dawn PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104966183 | NPPES |
| Alaska | Other | 1427095900 | INDIVIDUAL NPI |
| Alaska | MEDICAID | PS0561 | INDIVIDUAL NPI |
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