SCOTT A. KOTULAK BA IN PSYCHOLOGY – NPI #1114571858
Clinic/Center

SCOTT KOTULAK is an AHC clinic located in ANCHORAGE, AK. NPPES has assigned the NPI number 1114571858 to SCOTT KOTULAK on July 31, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SCOTT KOTULAK below.

NPI Profile for
SCOTT A. KOTULAK

NPI Number
1114571858
Enumeration Date

(about 7 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SCOTT A. KOTULAK
Credentials
BA IN PSYCHOLOGY
Primary location
1650 BRAGAW ST
ANCHORAGE, AK 99508-3435
Phone: (907) 258-7575 Fax:
Mailing address
11351 DISCOVERY VIEW DR APT 102A
ANCHORAGE, AK 99515-2753
Phone: Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.