Healthcare Provider Details

I. General information

NPI: 1811352016
Provider Name (Legal Business Name): MEGAN PIREHPOUR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2015
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 HUFFMAN RD STE 24-580
ANCHORAGE AK
99515-3516
US

IV. Provider business mailing address

2830 CUTWATER CT
ANCHORAGE AK
99516-3472
US

V. Phone/Fax

Practice location:
  • Phone: 480-246-2100
  • Fax:
Mailing address:
  • Phone: 480-246-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number4474081
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: