Provider Demographics
NPI:1659306173
Name:NEUROBEHAVIORAL CONSULTANTS LLC
Entity Type:Organization
Organization Name:NEUROBEHAVIORAL CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:K
Authorized Official - Last Name:WESTERGAARD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:907-747-3743
Mailing Address - Street 1:PO BOX 2401
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-2401
Mailing Address - Country:US
Mailing Address - Phone:907-747-3743
Mailing Address - Fax:907-747-3130
Practice Address - Street 1:201 LINCOLN ST
Practice Address - Street 2:SUITE 3
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-7543
Practice Address - Country:US
Practice Address - Phone:907-747-3743
Practice Address - Fax:907-747-3130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK217398261QM0801X
AK261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Not Answered261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Not Answered261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health