1. Home
  2. Directory
  3. Alaska
  4. Anchorage
  5. Clinical Neuropsychologist
  6. NPI Profile

CHRIS CAVANAUGH PHD
NPI 1184017055
Clinical Neuropsychologist in Anchorage, AK

Active since March 16, 2015PECOS Enrolled
2600 DENALI ST STE 450, ANCHORAGE, AK 99503(907) 561-0552 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Chris Cavanaugh Phd NPPES

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

CHRIS CAVANAUGH PHD (NPI 1184017055) is an individual clinical neuropsychologist in Anchorage, Alaska, licensed in Alaska (148339) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Anchorage.

NPPES Registry Identity

NPI1184017055
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameCHRIS CAVANAUGHCredential: PHD
Location Address2600 DENALI ST STE 450Anchorage, AK 99503-2754
Mailing Address2600 Denali St Ste 450Anchorage, AK 99503-2754 · (907) 561-0552
Phone(907) 561-0552
Sole ProprietorNo
Enumeration DateMarch 16, 2015
Last NPPES UpdateMay 25, 2021
NPPES CertifiedMay 25, 2021
✔ NPI 1184017055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in AK · 148339
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 911 (AK)
2600 DENALI ST STE 450, Anchorage, AK 99503
Open in Google Maps ↗

Secondary Practice Location 1

Location 14325 Laurel St, Suite 230Anchorage, AK 99508-5364 · Phone (907) 232-6995

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chris Cavanaugh Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Chris Cavanaugh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fuller Diagnostics, LLC
Same address
Clinical Neuropsychologist
2600 DENALI ST, SUITE 450
Anchorage, AK 99503
  • Reassigned Medicare billing, Alaska enrollment
  • 4 clinicians in this Medicare group
NPI 1326152711 (907) 561-0552

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

RACHEL SUZANNE WOODS PHD
Psychologist (Clinical)
2600 DENALI ST STE 450
ANCHORAGE, AK 99503
Anchorage Municipality (907) 561-0552
KESLEY MEHRMAN-GAY PSYD
Psychologist (Clinical)
2600 DENALI ST STE 450
ANCHORAGE, AK 99503
Anchorage Municipality (907) 561-0552

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 Chris Cavanaugh's NPI number?

The NPI number for Chris Cavanaugh is 1184017055. It was assigned to this individual provider in the NPPES registry on March 16, 2015.

Where is Chris Cavanaugh located?

Chris Cavanaugh practices at 2600 Denali St Ste 450, Anchorage, AK 99503. The listed phone number is (907) 561-0552.

What is Chris Cavanaugh's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Chris Cavanaugh enrolled in Medicare?

Yes. Chris Cavanaugh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Chris Cavanaugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chris Cavanaugh reassigns Medicare benefits to Fuller Diagnostics, LLC (Anchorage, AK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chris Cavanaugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chris Cavanaugh accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Chris Cavanaugh 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 Chris Cavanaugh was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.