Mark Jason Alexakos, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

152292 Issued in MA

Practice address

20 Central Ave
3Rd Floor
Lynn, MA 01901-1201

Phone

(781) 596-2502

Fax

(781) 598-8137

NPI assigned

Sep 14, 2006

Last updated

Dec 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

University of Chicago, Pritzker School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of MontereyGroup PAC ID 2466345632, 186 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Monterey

  dba Adult Services Program Salinas Valley

  • Adult Mental Health Clinic/Center
  • Salinas, CA
  • NPI 1467584805
  Medicare reassignment Care Compare group
• Lynn Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lynn, MA
  • NPI 1013997691
  Medicare reassignment NPD
• Interim, Inc.

  dba Interim Manzanita Monterey Crisis Residential Short Term

  • Mental Illness Community Based Residential Treatment Facility
  • Monterey, CA
  • NPI 1407344641
  Medicare reassignment NPD
• County of Monterey Behavioral Health

  dba Monterey County Behavioral Health King City Clinic

  • Community/Behavioral Health Agency
  • King City, CA
  • NPI 1306033220
  NPD
• Interim, Inc.

  dba Interim Horizons - Dela Vina

  • Community/Behavioral Health Agency
  • Monterey, CA
  • NPI 1336314426
  NPD
• Interim, Incorporated

  • Community/Behavioral Health Agency
  • Monterey, CA
  • NPI 1336327337
  NPD
• Interim, Inc.

  dba Interim Wellness and Recovery Academy

  • Mental Illness Community Based Residential Treatment Facility
  • Marina, CA
  • NPI 1447755798
  NPD (past)
• Interim, Inc.

  dba Interim Manzanita House Crisis Short Term

  • Mental Illness Community Based Residential Treatment Facility
  • Salinas, CA
  • NPI 1932324381
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1083719835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 CONSTITUTION BLVD STE 200",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063127",
            "telephone_number": "831-796-1704",
            "fax_number": "781-598-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CENTRAL AVE",
            "address_2": "3RD FLOOR",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011201",
            "telephone_number": "781-596-2502",
            "fax_number": "781-598-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXAKOS",
        "first_name": "MARK",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "152292",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "152292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rakan Ibrahim Alabbadi, DDS
• Deandra Nichole Alberghini
• Bertha Albrecht, DDS
• Alegre Dental Center
• Angelica Marie Aleman Rosario, RN
• Sara Lyn Alexakos, PSY.D.
• Alexeyenko Medical Associates
• Alexeyenko Medical Associates Lynn
• Alexeyenko Medical Associates PC
• Alexandre Alexeyenko, M.D.

• Child & Adolescent Psychiatry Physician in Lynn, MA
• Providers in Lynn, MA by specialty
• Child & Adolescent Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.