MALCOLM SHAQUILLE BODISON
NPI 1366040784
Counselor - Mental Health in Anchorage, AK

Active since October 16, 2020
1251 MULDOON RD STE 116, ANCHORAGE, AK 99504(190) 727-4828 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Malcolm Shaquille Bodison NPPES

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

MALCOLM SHAQUILLE BODISON (NPI 1366040784) is an individual mental health provider in Anchorage, Alaska and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1366040784
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMALCOLM SHAQUILLE BODISON
Location Address1251 MULDOON RD STE 116Anchorage, AK 99504-2098
Mailing Address1251 Muldoon Rd Ste 116Anchorage, AK 99504-2098
Sole ProprietorNo
Enumeration DateOctober 16, 2020
NPPES CertifiedOctober 16, 2020
NPI 1366040784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1251 MULDOON RD STE 116, Anchorage, AK 99504

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
1251 MULDOON RD STE 116
ANCHORAGE, AK 99504
Counselor (Mental Health)
1251 MULDOON RD STE 116
ANCHORAGE, AK 99504
Counselor (Mental Health)
1251 MULDOON RD STE 116
ANCHORAGE, AK 99504
Counselor (Mental Health)
1251 MULDOON RD STE 116
ANCHORAGE, AK 99504
Counselor (Mental Health)
1251 MULDOON RD STE 116
ANCHORAGE, AK 99504
Counselor (Mental Health)
1251 MULDOON RD STE 116
ANCHORAGE, AK 99504
Counselor (Mental Health)
1251 MULDOON RD STE 116
ANCHORAGE, AK 99504
Counselor (Mental Health)
1251 MULDOON RD STE 116
ANCHORAGE, AK 99504

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 Malcolm Bodison's NPI number?

The NPI number for Malcolm Bodison is 1366040784. It was assigned to this individual provider in the NPPES registry on October 16, 2020.

Where is Malcolm Bodison located?

Malcolm Bodison practices at 1251 Muldoon Rd Ste 116, Anchorage, AK 99504. The listed phone number is (190) 727-4828.

What is Malcolm Bodison's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Malcolm Bodison was last updated on October 16, 2020. 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.