Organization Active NPI

Rodriguez Baisi Psychiatric Services LLC

  • Psychiatry Physician
  • Anchorage, AK
National Provider Identifier
1124350483
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
933541 Issued in AK
Legal business name
RODRIGUEZ BAISI PSYCHIATRIC SERVICES LLC
Practice address
2530 Debarr Rd
Anchorage, AK 99508-2948
Phone
(907) 258-7575
NPI assigned
Feb 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Authorized official

Name
Dr. Manuel Rodriguez, MD
Title
Owner
Phone
(907) 770-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 933541 AK Primary

Addresses

Primary practice location

2530 Debarr Rd
Anchorage, AK 99508-2948

Mailing address

12911 Monterey Cir
Anchorage, AK 99516-2753
Phone (907) 258-7575

Other identifiers 1

IdentifierTypeStateIssuer
933541OtherAKAK BUSINESS LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1124350483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 MONTEREY CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995162753",
            "telephone_number": "907-258-7575",
            "fax_number": "907-770-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 DEBARR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082948",
            "telephone_number": "907-258-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODRIGUEZ BAISI PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-770-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "933541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AK BUSINESS LICENSE",
            "identifier": "933541",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.