DR. ELLEN J HALVERSON (NPI# 1467478164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467478164 |
| Entity Type | Individual |
| Full Name | DR. ELLEN J HALVERSON |
| Credential | M.D. |
| Practice Address |
2250 S Woodworth Loop Suite 202 Palmer AK 99645-7412 |
| Mailing Address |
Po Box 4105 Portland OR 97208-4105 |
| Practice Telephone | 9077615800 |
| Practice Fax Number | 9077615801 |
| Mailing Telephone | 8669071068 |
| Mailing Fax Number | 4259179141 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4152 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1010614 | 05 |
| Street Address |
2250 S WOODWORTH LOOP SUITE 202 |
| City | PALMER |
| State | AK |
| Zip Code | 99645-7412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679925325 | Katherine Paulick | Psychologist | 2250 S Woodworth Loop, Suite 202, Palmer, AK 99645-7457 | 2016-07-06 |
| 1902292386 | Zan Michael Whitman | Nurse Practitioner | 2250 S Woodworth Loop, Suite 202, Palmer, AK 99645-7457 | 2015-04-12 |
| 1811316987 | Jennifer Byers | Nurse Practitioner | 2250 S Woodworth Loop, Suite 202, Palmer, AK 99645-7457 | 2014-04-15 |
| 1841613072 | Sara J. Larson Braun | Counselor | 2250 S Woodworth Loop, Suite 202, Palmer, AK 99645-7412 | 2014-01-23 |
| 1487099487 | Amanda Leigh Wolfe | Counselor | 2250 S Woodworth Loop, Suite 202, Palmer, AK 99645-7457 | 2013-05-03 |
| 1356695316 | Ryan Franklin Conley | Registered Nurse | 2250 S Woodworth Loop, Suite 202, Palmer, AK 99645-7412 | 2012-10-30 |
| 1447557665 | Justin Shipowick | Social Worker | 2250 S Woodworth Loop, Suite 202, Palmer, AK 99645-7457 | 2011-02-24 |
| 1386810844 | Janet L Bogard | Social Worker | 2250 S Woodworth Loop, Palmer, AK 99645-7457 | 2008-05-05 |
| 1144439639 | Jeffrey James Copeland | Family Medicine | 2250 S Woodworth Loop, Suite 101, Palmer, AK 99645-7412 | 2007-05-21 |
| 1104844075 | Jeffrey J Grasser | Counselor | 2250 S Woodworth Loop, Suite 202, Palmer, AK 99645-7457 | 2006-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
| 1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
| 1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
| 1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
| 1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
| 1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
| 1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
| 1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
| 1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
| 1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710975537 | Lesley Fishelman | Psychiatry & Neurology | 42 Wright Street, Palmer, MA 01069-1156 | 2005-10-06 |
| 1740644913 | Sean S Bennett | Psychiatry & Neurology | 42 Wright St, Palmer, MA 01069-1156 | 2016-04-13 |
| 1861794547 | Jane Margaret Larouche | Psychiatry & Neurology | 2250 S Woodworth Loop Ste 202, Palmer, AK 99645-7457 | 2010-12-01 |
| 1093951436 | Lucy Ellen Davidson | Psychiatry & Neurology | 42 Wright Street, Palmer, MA 01069-1156 | 2009-01-06 |
| 1548415185 | Rama Krishna Reddy Yarasani | Psychiatry & Neurology | 40 Wright St, Palmer, MA 01069-1138 | 2008-11-24 |
| 1578692455 | Anne C Bauer | Psychiatry & Neurology | 42 Wright Street, Palmer, MA 01069-1156 | 2007-03-05 |
| 1134202468 | Gerald S Franklin | Psychiatry & Neurology | 42 Wright St, Palmer, MA 01069-1156 | 2006-10-23 |
| 1336157007 | Shadi Zaghloul | Psychiatry & Neurology | 42 Wright St, Palmer, MA 01069-1156 | 2006-08-04 |
| 1104842731 | Imad M Khreim | Psychiatry & Neurology | 40 Wright St, Palmer, MA 01069-1138 | 2006-07-15 |
| 1245278514 | Marie E Armentano | Psychiatry & Neurology | 40 Wright St, Wing Mem Hosp Griswold Ctr, Palmer, MA 01069-1138 | 2006-06-02 |
| Find all providers in PALMER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.