OrganizationActive
Katies Way Anchorage LLC
NPI 1215635875 · Behavioral Neurology & Neuropsychiatry Physician · Anchorage, AK
Provider details
- NPI number
- 1215635875
- 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
- Prescribing (Medical) Psychologist103TP0016X
Behavioral Health & Social Service Providers
Practice location
2751 Debarr Rd Ste 300
Anchorage, AK 99508-2962
Phone: (907) 206-4088
Fax: (907) 318-9956
Approximate (ZIP-level) locationGet directions
Mailing address
720 Poyntz Ave Apt B
Manhattan, KS 66502-6355
Other names (DBA / former)
- Doing business as
- Katies Way
Additional practice locations (1)
- 12001 Business Blvd Ste BEagle River, AK 99577-7743Phone: (907) 206-4088Fax: (907) 318-9956
Registry dates
- Enumerated
- 2023-02-22
- 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.