NORTHERN PSYCHOLOGY RESOURCES LLC
NPI 1104966183
Psychologist - Clinical in Kenai, AK

Q: What is Northern Psychology Resources LLC's NPI number?

The NPI number for Northern Psychology Resources LLC is 1104966183. It was assigned to this organization in the NPPES registry on February 7, 2007.

Q: What is Northern Psychology Resources LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since February 07, 2007

215 FIDALGO AVE, KENAI, AK 99611(307) 335-4466(907) 335-4467 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Northern Psychology Resources Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN PSYCHOLOGY RESOURCES LLC (NPI 1104966183) is a healthcare organization registered as a clinical in Kenai, Alaska and active in the NPI registry since February 2007. The organization lists Jacqueline Dawn Bock, Owner, as its authorized official.

NPPES Registry Identity

NPI1104966183

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameNORTHERN PSYCHOLOGY RESOURCES LLC

Location Address215 FIDALGO AVEKenai, AK 99611-7751

Mailing AddressPo Box 1487Kenai, AK 99611-1487 · (907) 335-4466 · Fax (907) 335-4467

Phone(307) 335-4466

Fax(907) 335-4467

Organization SubpartNo

Authorized OfficialJacqueline Dawn BockOwner · (907) 335-4466

Enumeration DateFebruary 7, 2007

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1104966183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in AK · 561

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.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 561 (AK)

215 FIDALGO AVE, Kenai, AK 99611

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Other Identifiers 2

Other1427095900AK · Individual Npi

MedicaidPS0561AK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALING TIDES COUNSELING LLC

Counselor (Mental Health)

215 FIDALGO AVE
KENAI, AK 99611

Kenai Peninsula Borough (907) 744-7969

JACQUELINE DAWN BOCK PHD

Psychologist

215 FIDALGO AVE, SUITE 104
KENAI, AK 99611

Kenai Peninsula Borough (907) 335-4466

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northern Psychology Resources LLC's NPI number?

The NPI number for Northern Psychology Resources LLC is 1104966183. It was assigned to this organization in the NPPES registry on February 7, 2007.

Where is Northern Psychology Resources LLC located?

Northern Psychology Resources LLC is located at 215 Fidalgo Ave, Kenai, AK 99611. The listed phone number is (307) 335-4466.

What is Northern Psychology Resources LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Northern Psychology Resources LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Northern Psychology Resources LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northern Psychology Resources LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.