Provider Demographics
NPI:1598576209
Name:ALASKA ADULT PSYCHIATRIC SERVICES, LLC
Entity type:Organization
Organization Name:ALASKA ADULT PSYCHIATRIC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHASTAIN
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:907-621-8600
Mailing Address - Street 1:3500 LATOUCHE ST STE 240A
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-4248
Mailing Address - Country:US
Mailing Address - Phone:907-621-8600
Mailing Address - Fax:
Practice Address - Street 1:3500 LATOUCHE ST STE 240A
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4248
Practice Address - Country:US
Practice Address - Phone:907-621-8600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty