Provider Demographics
NPI:1326871955
Name:ANCHORAGE INTEGRATIVE PSYCHIATRY
Entity type:Organization
Organization Name:ANCHORAGE INTEGRATIVE PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP/FNP OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:LEIGHTON
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:ANP
Authorized Official - Phone:907-317-3364
Mailing Address - Street 1:6927 OLD SEWARD HWY STE 201
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-2284
Mailing Address - Country:US
Mailing Address - Phone:907-268-0043
Mailing Address - Fax:907-677-0844
Practice Address - Street 1:6927 OLD SEWARD HWY STE 201
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-2284
Practice Address - Country:US
Practice Address - Phone:907-268-0043
Practice Address - Fax:907-677-0844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty