PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1659483113
Psychiatric Residential Treatment Facility in Anchorage, AK

Active since August 31, 2006
3210 W 62ND AVE, ANCHORAGE, AK 99502(907) 212-2040(907) 272-2169 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Providence Health & Services - Washington NPPES

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1659483113), doing business as Providence Adolescent Residential Treatment Program, is a healthcare organization registered as a psychiatric residential treatment facility in Anchorage, Alaska and active in the NPI registry since August 2006. The organization lists Donald W. Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1659483113
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON
Location Address3210 W 62ND AVEAnchorage, AK 99502
Mailing Address3760 Piper St, Suite 1061Anchorage, AK 99508-4665 · (907) 212-0209 · Fax (907) 212-6547
Fax(907) 272-2169
Organization SubpartNo
Authorized OfficialDonald W. AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateAugust 31, 2006
Last NPPES UpdateMay 15, 2025
NPPES CertifiedMay 15, 2025
NPI 1659483113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
License Licensed in AK · 400157
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
3210 W 62ND AVE, Anchorage, AK 99502

Other Names 1

Doing Business AsProvidence Adolescent Residential Treatment Program

Other Identifiers 1

MedicaidHS487PIAK

Accepted Insurance

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 Providence Health & Services - Washington's NPI number?

The NPI number for Providence Health & Services - Washington is 1659483113. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Providence Adolescent Residential Treatment Program.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 3210 W 62nd Ave, Anchorage, AK 99502. The listed phone number is (907) 212-2040.

What is Providence Health & Services - Washington's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

What insurance does Providence Health & Services - Washington accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Providence Health & Services - Washington 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 Providence Health & Services - Washington was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.