DR. JOSEPH R DEITZ (NPI# 1932350691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932350691 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH R DEITZ |
| Credential | M.D. |
| Practice Address |
122 1st Ave Ste 600 Fairbanks AK 99701 |
| Mailing Address |
122 1st Ave Ste 600 Fairbanks AK 99701-4899 |
| Practice Telephone | 9074528251 |
| Mailing Telephone | 9074528251 |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2019-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
140668 | AK | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME118056 | FL | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
262855-1 | NY | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD19178 | ME | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9981 S Healthpark Dr # 2-west, Fort Myers, FL 33908 | 2393432062 | 2394244186 |
| Street Address |
122 1ST AVE STE 600 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275556144 | Sasha Elizabeth Ericksen | Psychiatry & Neurology | 122 1st Ave Ste 600, Fairbanks, AK 99701-4871 | 2006-07-25 |
| 1568061596 | Lucas Daniel Ritter | Counselor | 122 1st Ave Ste 600, Fairbanks, AK 99701-4899 | 2020-10-21 |
| 1770106551 | Juliette M Teregeyo | Case Manager/Care Coordinator | 122 1st Ave Ste 600, Fairbanks, AK 99701-4899 | 2020-05-27 |
| 1942832639 | Janessa Nicole Newman | Counselor | 122 1st Ave Ste 600, Fairbanks, AK 99701-4899 | 2020-02-10 |
| 1558836221 | William Bruce Gaddis IIi | Counselor | 122 1st Ave Ste 600, Fairbanks, AK 99701-4899 | 2018-10-09 |
| 1740531656 | Tanana Chiefs Conference | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 122 1st Ave Ste 600, Fairbanks, AK 99701-4871 | 2012-10-02 |
| 1396003455 | Morgan Birrell Liddell | Psychiatry & Neurology | 122 1st Ave Ste 600, Fairbanks, AK 99701-4871 | 2012-04-26 |
| 1750672861 | Daisy Elizabeth Henry | Counselor | 122 1st Ave Ste 600, Fairbanks, AK 99701-4871 | 2011-04-22 |
| 1386973659 | Eleanore Louise Starr | Counselor | 122 1st Ave Ste 600, Fairbanks, AK 99701-4871 | 2009-12-16 |
| 1497996680 | Carol J Rose | Counselor | 122 1st Ave Ste 600, Fairbanks, AK 99701-4871 | 2009-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| 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 |
|---|---|---|---|---|
| 1174796247 | Monique Dase Smith | Psychiatry & Neurology | 1650 Cowles St., Fairbanks, AK 99705 | 2008-04-09 |
| 1639240740 | Mikki Barker | Psychiatry & Neurology | 225 Wendell Ave, Suite B, Fairbanks, AK 99701-4835 | 2006-11-11 |
| 1275556144 | Sasha Elizabeth Ericksen | Psychiatry & Neurology | 122 1st Ave Ste 600, Fairbanks, AK 99701-4871 | 2006-07-25 |
| 1225099765 | Richard Calvin Brown Jr. | Psychiatry & Neurology | 1825 Marika Rd, Fairbanks, AK 99709-5521 | 2006-03-31 |
| 1134190770 | Patrick D Dean | Psychiatry & Neurology | 1650 Cowles Street, Fairbanks, AK 99701 | 2006-01-31 |
| 1689668089 | Kimberly A Sherrill | Psychiatry & Neurology | 315 5th Ave, Fairbanks, AK 99701-5025 | 2005-08-31 |
| 1265425417 | Adam Miguel Estevez | Psychiatry & Neurology | 160 Cowles St, Fairbanks Memorial Hospital, Fairbanks, AK 99701-4459 | 2005-08-23 |
| 1396003455 | Morgan Birrell Liddell | Psychiatry & Neurology | 122 1st Ave Ste 600, Fairbanks, AK 99701-4871 | 2012-04-26 |
| 1972873784 | Nurses Diversified Systems, Inc | Psychiatry & Neurology | 407 5th Ave, Fairbanks, AK 99701-4715 | 2012-01-10 |
| 1033308002 | Beringia Mental Health LLC | Psychiatry & Neurology | 225 Wendell St, Ste B, Fairbanks, AK 99701-4835 | 2007-10-16 |
| Find all providers in FAIRBANKS | ||||
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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.