LYNDA J. PURVIS CDC I – NPI #1134408586
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

LYNDA PURVIS is a community based residential treatment facility located in FAIRBANKS, AK. NPPES has assigned the NPI number 1134408586 to LYNDA PURVIS on August 16, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 5 years ago on May 05, 2021. 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 LYNDA PURVIS below.

NPI Profile for
LYNDA J. PURVIS

NPI Number
1134408586
Enumeration Date

(about 15 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LYNDA J. PURVIS
Credentials
CDC I
Primary location
1521 S CUSHMAN ST
FAIRBANKS, AK 99701-6203
Phone: (907) 452-8251 Fax:
Mailing address
1101 LAKEVIEW TER
FAIRBANKS, AK 99701-7719
Phone: (907) 347-1622 Fax:
Sole Proprietor
Yes
Updated
Certification Date
May 05, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
320800000X
- Community Based Residential Treatment Facility, Mental Illness (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.