Southeast Psychiatry

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

5960 Issued in AK

Legal business name

SOUTHEAST PSYCHIATRY

Practice address

301 3Rd St
Juneau, AK 99801-1204

Phone

(907) 209-8962

NPI assigned

Apr 2, 2009

Organization subpart

No

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

Authorized official

Name

Paul Jiri Topol, M.DNPI 1417038001

Title

Proprietor

Phone

(907) 209-8962

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Jiri Topol, M.D.

  • Psychiatry Physician
  • Juneau, AK
  • NPI 1417038001
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1104068378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 3RD ST",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011204",
            "telephone_number": "907-209-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 3RD ST",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011204",
            "telephone_number": "907-209-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "TOPOL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JIRI",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "907-209-8962",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "5960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Alaska Therapies, LLC
• Southeast Alaska Urology, LLC
• Southeast Dental Group, PC
• Southeast Foot & Ankle Center Inc
• Southeast Furniture Warehouse, Inc
• Southeast Radiology Consultants LLC
• Southeast Urgent Care Incorporated
• Southeast Urology LLC
• Southeast Urology, LLC
• Brian Sparks

• Psychiatry Physician in Juneau, AK
• Providers in Juneau, AK by specialty
• Psychiatry Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.