MONARCH PSYCHIATRY OF ALASKA LLC NPI 1891200911

NPI Information

NPI: 1891200911
Provider Name: MONARCH PSYCHIATRY OF ALASKA LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
101 W BENSON BLVD STE 306
ANCHORAGE, AK
ZIP 99503
Phone: (907) 885-1089
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MONARCH PSYCHIATRY OF ALASKA LLC is an adult mental health clinic center in Anchorage, AK. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MONARCH PSYCHIATRY OF ALASKA LLC NPI is 1891200911. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

101 W BENSON BLVD STE 306
ANCHORAGE, AK
ZIP 99503-936
Phone: (907) 885-1089
Fax: (907) 885-1059

The provider's authorized official is Lucinda Miller-mangrobang .
The authorized official title is Member Manager and has the following contact phone number (907) 885-1089.

The enumeration date for this NPI number is 12/12/2017 and was last updated on 8/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	1364	ALASKA	No
2	103TC0700X	Psychologist	Clinical	576	ALASKA	No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	4965	ALASKA	No
4	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	1062801	ALASKA	No
5	261QM0850X	Clinic/Center	Adult Mental Health	1062801	ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1679481	MEDICAID	ALASKA
2	615323	OTHER	ALASKA	TRICARE HNFS GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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