OrganizationActive
Providence Health & Services - Washington
NPI 1659483113 · Psychiatric Residential Treatment Facility · Anchorage, AK
Provider details
- NPI number
- 1659483113
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
- License
- 400157 (AK)
Specialties & taxonomies
Residential Treatment Facilities
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
3210 W 62nd Ave
Anchorage, AK 99502
Phone: (907) 212-2040
Fax: (907) 272-2169
Street-level locationGet directions
Mailing address
3760 Piper St
Anchorage, AK 99508-4665
Other names (DBA / former)
- Doing business as
- Providence Adolescent Residential Treatment Program
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2025-05-15
- Certified
- 2025-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.