Providence Adolescent Residential Treatment Program – Psychiatric Residential Treatment Facility, NPI 1659483113

Providence Adolescent Residential Treatment Program is a healthcare provider. based in Anchorage, Alaska. specializing in Psychiatric Residential Treatment Facility. The organization holds a License No. 400157 (AK). The NPI Number for Providence Adolescent Residential Treatment Program is 1659483113

Main info

Organization
Name
Providence Adolescent Residential Treatment Program
NPI
1659483113
Phone
(907) 212-0209
Address
3760 PIPER ST
Authorized Official
DONALD W. ANDERSON JR. ASSISTANT SECRETARY OF ENROLLMENTS
Enumeration Date
31 August 2006
Last Update Date
15 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Providence Adolescent Residential Treatment Program

  • Providence Crisis Recovery Center, 3760, Piper Street, Anchorage, Alaska, 99508, United States

    SUITE 1061

    ANCHORAGE, AK 995084665

    Phone: (907) 212-0209

    Fax: (907) 212-6547

    Type: Mailing

  • 3210, West 62nd Avenue, Anchorage, Alaska, 99502, United States

    ANCHORAGE, AK 99502

    Phone: (907) 212-2040

    Fax: (907) 272-2169

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99508)

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Reviews

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Frequently asked questions

What federal number belongs to Providence Adolescent Residential Treatment Program?
The federal identifier for Providence Adolescent Residential Treatment Program is NPI 1659483113.
Is Providence Adolescent Residential Treatment Program's NPI currently valid?
The extract we use shows Providence Adolescent Residential Treatment Program as active.
What field does Providence Adolescent Residential Treatment Program work in?
You can think of Providence Adolescent Residential Treatment Program as practicing within Psychiatric Residential Treatment Facility. Clinical services aligned with this taxonomy classification.
What location metadata exists for Providence Adolescent Residential Treatment Program?
The page summarizes Anchorage, Alaska for Providence Adolescent Residential Treatment Program; expand the address list for detail.
What if Anchorage, Alaska seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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