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

Haven

Organization Psychiatry Physician · NPI 1154861086

Haven is a Psychiatry Physician in Anchorage, Alaska. Licensed in Alaska. Registered with an NPI since 2017.

Licensed in
AK
In the registry since
2017
Specialties on file
3

Practice location Address checks out

626 Cordova St Ste 102
Anchorage, AK 99501-3783
Phone: (910) 399-3927
Fax: (855) 774-1303
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 118712 (AK)
Addiction Psychiatry Physician Taxonomy 2084P0802X · Licence 118712 (AK)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 118712 (AK)

Record details

NPI number1154861086
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dwight Lysne — Director · (910) 399-3927
NPI enumeratedFebruary 25, 2017
Last updated in NPPESMarch 14, 2017
Mailing address7212 Oyster Ln, Wilmington, NC 28411-7132

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