Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairbanks Psychiatric and Neurological Clinic a Prof Corp

Organization Neurology Physician · NPI 1518075100

Fairbanks Psychiatric and Neurological Clinic a Prof Corp is a Neurology Physician in Fairbanks, Alaska. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1919 Lathrop St Ste 220
Fairbanks, AK 99701-5937
Phone: (907) 452-1739
Fax: (907) 452-2384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X

Record details

NPI number1518075100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Beaty — Billing Agent · (907) 770-2301
NPI enumeratedAugust 25, 2006
Last updated in NPPESJanuary 16, 2019
Mailing address1919 Lathrop St, Suite 220, Fairbanks, AK 99701-5937

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