{
"Npi": {
"NPI": "1649888298",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FINDING YOUR WAY PSYCHOLOGICAL SERVICES, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 221909",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ANCHORAGE",
"MailingAddressStateName": "AK",
"MailingAddressPostalCode": "99522-1909",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "661-805-7908",
"MailingAddressFaxNumber": "888-974-1145",
"FirstLinePracticeLocationAddress": "3550 W DIMOND BLVD UNIT 302",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ANCHORAGE",
"PracticeLocationAddressStateName": "AK",
"PracticeLocationAddressPostalCode": "99502-1555",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "661-805-7908",
"PracticeLocationAddressFaxNumber": "888-974-1145",
"EnumerationDate": "07/20/2020",
"LastUpdateDate": "12/31/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCCONNELL",
"AuthorizedOfficialFirstName": "BRADLEY",
"AuthorizedOfficialMiddleName": "JAMES",
"AuthorizedOfficialTitle": "LICENSED PSYCHOLOGIST//OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PSYD",
"AuthorizedOfficialTelephoneNumber": "907-201-2242",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "261QM0850X",
"TaxonomyName": "Adult Mental Health Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "103TC0700X",
"TaxonomyName": "Clinical Psychologist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}