Peninsula Community Health Services Of Alaska, Inc. is a Psychiatric/Mental Health Nurse Practitioner based in Soldotna, AK and is specialized in Psychiatric/Mental Health. Peninsula Community Health Services Of Alaska, Inc. practices in Soldotna, AK. The NPI Number for Peninsula Community Health Services Of Alaska, Inc. is 1700984614 and holds a License No. 706967 (Alaska).
The current practice location address for Peninsula Community Health Services Of Alaska, Inc. is 230 E Marydale Ave, Soldotna, AK and can be reached out via phone at 907-260-7300 and via fax at 907-260-7301.
Location: 230 E Marydale Ave, Soldotna, AK, 99669-2949
Provider Profile Details
NPI Number
1700984614
Provider Name
Peninsula Community Health Services Of Alaska, Inc.
Credential
Provider Entity Type
Organization
Address
230 E Marydale Ave, Soldotna, AK, 99669-2949
Phone Number
907-260-7300
Fax Number
907-260-7301
Provider Enumeration Date
09/21/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HC5786 | 01 | AK | MEDICAID PROJECT CHOICE |
| K162666 | 01 | AK | MEDICARE PTAN |
Provider Business Practice Location Address Details
Address
230 E Marydale Ave
City
State
Zip
99669-7648
Phone Number
907-260-7300
Fax Number
907-260-7301
Provider Business Mailing Address Details
Address
230 E Marydale Ave
City
State
Zip
99669-7648
Phone Number
907-260-7300
Fax Number
907-260-7301
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
License No.
706967 (Alaska)
Definition
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.
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
706967 (Alaska)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
License No.
()
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Provider's Taxonomy Details 4
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
703967 (Alaska)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
706967 (Alaska)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
2093 (Alaska)
Definition
Definition to come...
Provider's Taxonomy Details 7
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
706967 (Alaska)
Definition
Definition to come...
Provider's Taxonomy Details 8
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Community Health
Taxonomy
License No.
706967 (Alaska)
Definition
Definition to come...
Provider's Taxonomy Details 9
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
706967 (Alaska)
Definition
Definition to come...
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