OrganizationActive
Fairbanks Psychiatric and Neurological Clinic a Prof Corp
NPI 1518075100 · Neurology Physician · Fairbanks, AK
Provider details
- NPI number
- 1518075100
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joseph Beaty, Billing Agent(907) 770-2301
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1919 Lathrop St
Suite 220
Fairbanks, AK 99701-5937
Phone: (907) 452-1739
Fax: (907) 452-2384
Street-level locationGet directions
Mailing address
1919 Lathrop St
Fairbanks, AK 99701-5937
Registry dates
- Enumerated
- 2006-08-25
- Last updated
- 2019-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.