FAIRBANKS COMMUNITY MENTAL HEALTH SERVICES, LLC
NPI 1972987998
Psychologist - Prescribing (Medical) in Fairbanks, AK

Q: What is Fairbanks Community Mental Health Services, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Active since July 20, 2015

3830 S CUSHMAN ST, FAIRBANKS, AK 99701(907) 371-1300(907) 770-8917 Get Directions Write a Review

NPPES record last updated: July 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fairbanks Community Mental Health Services, Llc NPPES

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

FAIRBANKS COMMUNITY MENTAL HEALTH SERVICES, LLC (NPI 1972987998) is a healthcare organization registered as a prescribing (medical) in Fairbanks, Alaska and active in the NPI registry since July 2015. The organization lists Amy Morrow, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1972987998

Entity TypeOrganization

Primary Taxonomy103TP0016X

Legal Business NameFAIRBANKS COMMUNITY MENTAL HEALTH SERVICES, LLC

Location Address3830 S CUSHMAN STFairbanks, AK 99701-7530

Mailing Address4020 Folker StAnchorage, AK 99508-5321 · (907) 561-1000 · Fax (907) 770-8917

Phone(907) 371-1300

Fax(907) 770-8917

Organization SubpartYesParent: Anchorage Community Mental Health Services, Inc

Authorized OfficialAmy MorrowBilling Manager · (907) 762-2820

Enumeration DateJuly 20, 2015

✔ NPI 1972987998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers

Taxonomy Code103TP0016X

Definition

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X

3830 S CUSHMAN ST, Fairbanks, AK 99701

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Other Identifiers 1

OtherK165350AK · Medicare

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

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.

MR. ROBERT MITCHELL RICKSON JR.

Counselor (Mental Health)