Healthcare Provider Details

I. General information

NPI: 1235003070
Provider Name (Legal Business Name): EXPLORATION PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2025
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9350 INDEPENDENCE DR STE 201
ANCHORAGE AK
99507-4619
US

IV. Provider business mailing address

3705 ARCTIC BLVD # 1646
ANCHORAGE AK
99503-5774
US

V. Phone/Fax

Practice location:
  • Phone: 646-883-5650
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DOROTHY CHYUNG
Title or Position: OWNER
Credential:
Phone: 646-883-5650