OrganizationActive
Katie'S Way Fairbanks, LLC
NPI 1144927096 · Behavioral Neurology & Neuropsychiatry Physician · Fairbanks, AK
Provider details
- NPI number
- 1144927096
- Entity type
- Organization
- Primary specialty
- Behavioral Neurology & Neuropsychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelly Johnson, Credentialing Director(785) 320-6616
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Clinical Neuropsychologist103G00000X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Cognitive & Behavioral Psychologist103TB0200X
Behavioral Health & Social Service Providers
- Psychoanalysis Psychologist103TP0814X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Practice location
1275 Sadler Way Ste 104
Fairbanks, AK 99701-3175
Phone: (907) 921-5511
Fax: (907) 921-3574
Approximate (ZIP-level) locationGet directions
Mailing address
1275 Sadler Way Ste 102
Fairbanks, AK 99701-3175
Other names (DBA / former)
- Doing business as
- Katies Way
Additional practice locations (1)
- 257 Santa Claus LnNorth Pole, AK 99705-6055Phone: (907) 921-5511Fax: (907) 921-3574
Registry dates
- Enumerated
- 2023-02-10
- Last updated
- 2024-11-20
- Certified
- 2024-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.