Peninsula Community Health Services Of Alaska, Inc. is a Psychologist (Clinical) Clinic in Soldotna, Alaska. It is located at 230 E Marydale Ave, Soldotna, AK and its contact number is 907-260-7300. The authorized person for Peninsula Community Health Services Of Alaska, Inc. is Benjamin J Wright
who is Ceo of the clinic and their contact number is 907-260-7314. The primary license number for Peninsula Community Health Services Of Alaska, Inc. is 703967 (Federally Qualified Health Center (FQHC)) in Alaska. Peninsula Community Health Services Of Alaska, Inc. Clinic A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Complete Clinic Profile:
Peninsula Community Health Services Of Alaska, Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Peninsula Community Health Services Of Alaska, Inc.
Specialization:
Clinical, Psychologist
Clinic Address:
230 E Marydale Ave, Soldotna, Alaska, 99669-7648
Phone:
907-260-7300
Fax:
907-260-7301
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Benjamin J Wright
Position:
Ceo
Contact Number:
907-260-7314
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Peninsula Community Health Services Of Alaska, Inc. clinic are as mentioned below.
NPI Number:
1700984614
NPI Enumeration Date:
21 Sep, 2006
NPI Last Update On:
25 Apr, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Peninsula Community Health Services Of Alaska, Inc. are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
703967
Alaska
Primary
Clinical
706967
Alaska
Secondary
Clinical
706967
Alaska
Secondary
Dentist
706967
Alaska
Secondary
Specialist
2093
Alaska
Secondary
Family Medicine
706967
Alaska
Secondary
Federally Qualified Health Center (FQHC)
Secondary
Medical
706967
Alaska
Secondary
Community Health
706967
Alaska
Secondary
Psychiatric/Mental Health
737
Alaska
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
HC5786
Other
Alaska
Medicaid Project Choice
K162666
Other
Alaska
Medicare Ptan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Peninsula Community Health Services Of Alaska, Inc. Po Box 2949, Soldotna, Alaska
Zip:
99669-2949
Phone Number:
907-260-7300
Fax Number:
907-260-7301
Patients can reach Peninsula Community Health Services Of Alaska, Inc. at 230 E Marydale Ave, Soldotna, Alaska or can call to book an appointment on 907-260-7300. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.