SCOTT ALEN KOTULAK BA IN PSYCHOLOGY
NPI 1114571858
Clinic/Center - Mental Health (Including Community Mental Health Center) in Anchorage, AK

NPI Status: Active since July 31, 2019

Contact Information

1650 BRAGAW ST
ANCHORAGE, AK
ZIP 99508
Phone: (907) 258-7575

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  • Individual
  • Male
  • Clinic/Center
  • Mental Health (Including Community Menta...

About SCOTT KOTULAK

This page provides the complete NPI Profile along with additional information for Scott Kotulak, a provider established in Anchorage, Alaska with a medical specialization in Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1114571858 assigned on July 2019. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1114571858
Provider Name
SCOTT ALEN KOTULAK BA IN PSYCHOLOGY
Gender
Male
Entity Type
Individual
Location Address
1650 BRAGAW ST ANCHORAGE, AK 99508
Location Phone
(907) 258-7575
Mailing Address
11351 DISCOVERY VIEW DR APT 102A ANCHORAGE, AK 99515
Is Sole Proprietor?
Yes
Enumeration Date
07-31-2019
Last Update Date
07-31-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114571858
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241072810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 0 + 7 + 2 + 8 + 1 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1114571858 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841364957FRONTLLINE RESIDENTIAL TREATMENT CENTER LLC
Organization
Psychiatric Residential Treatment Facility1650 BRAGAW ST
ANCHORAGE, AK 99508
(907) 258-7575
1346894029 AMY LYNN LENEAVE
Individual
Registered Nurse (Psychiatric/Mental Health)1650 BRAGAW ST
ANCHORAGE, AK 99508
(907) 433-7363
1386298073 DEEANA MONICA DEVINE MATOKA
Individual
Behavior Technician1650 BRAGAW ST
ANCHORAGE, AK 99508
(907) 433-7320
1609420389 ELKE M VILLEGAS MSW
Individual
Social Worker (Clinical)1650 BRAGAW ST
ANCHORAGE, AK 99508
(907) 258-7575
1770137457MRS. SHANNA S. SIMMONS
Individual
Counselor (Mental Health)1650 BRAGAW ST
ANCHORAGE, AK 99508
(907) 433-7361
1053965715 NOELLINDA CHRISTY PESIO
Individual
Technician, Health Information1650 BRAGAW ST
ANCHORAGE, AK 99508
(907) 433-7320
1598319261 ROBERT FREDERICK JASMER
Individual
Registered Nurse (Addiction (Substance Use Disorder))1650 BRAGAW ST
ANCHORAGE, AK 99508
(907) 433-7361
1104470889 JOHN DAVID SHAHEEN RN, MSN
Individual
Registered Nurse1650 BRAGAW ST
ANCHORAGE, AK 99508
(907) 433-7384
1598319295 TRACIE ROBERTSON RN
Individual
Registered Nurse1650 BRAGAW ST
ANCHORAGE, AK 99508
(907) 433-6373
1376197061 CARMEN BOTROS RIZKALLA
Individual
Registered Nurse1650 BRAGAW ST
ANCHORAGE, AK 99508
(907) 433-7320
1184278897 DALLAS ALBERTHAL
Individual
Registered Nurse1650 BRAGAW ST
ANCHORAGE, AK 99508
(907) 433-7320
1114571841 BETHANY M MISEMER BA
Individual
Behavior Technician1650 BRAGAW ST
ANCHORAGE, AK 99508
(907) 433-7361
1003460684 KRISTINE CLIFTON RN
Individual
Registered Nurse1650 BRAGAW ST
ANCHORAGE, AK 99508
(907) 433-7350
1386298982 MORGAN RATLIFF RN
Individual
Registered Nurse1650 BRAGAW ST
ANCHORAGE, AK 99508
(907) 433-7320
1891349429 AMANDA REID
Individual
Counselor (Mental Health)1650 BRAGAW ST
ANCHORAGE, AK 99508
(907) 433-7320
1831743467 KYLIE CINNAMON SNOW
Individual
Registered Nurse1650 BRAGAW ST
ANCHORAGE, AK 99508
(907) 258-7575
1891349437 KRISTINA M ROMINE RN
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)1650 BRAGAW ST
ANCHORAGE, AK 99508
(907) 433-7361
1164076725 MARY DEPEW LPN
Individual
Licensed Practical Nurse1650 BRAGAW ST
ANCHORAGE, AK 99508
(907) 433-7341
1235784786 WESLEY ANN RIVERA RN
Individual
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)1650 BRAGAW ST
ANCHORAGE, AK 99508
(907) 272-6206
1952956427 JON DROSKA
Individual
Registered Nurse1650 BRAGAW ST
ANCHORAGE, AK 99508
(907) 258-7575

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114571858, enumerated in the NPI registry as an "individual" on July 31, 2019

The provider is located at 1650 Bragaw St Anchorage, Ak 99508 and the phone number is (907) 258-7575

The provider's speciality is Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on July 31, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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