NPIMap

Individual provider Active NPI

Anthony F. Yacona, MD

  • Psychiatry Physician
  • Seattle, WA
National Provider Identifier
1417913773
Registry record updated Jan 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD433809 Issued in PA
Practice address
4061 NE 110TH St
Seattle, WA 98125-5806
Phone
(412) 552-8189
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 121046 NY
Child & Adolescent Psychiatry Physician 2084P0804X 121046 NY
Psychiatry Physician 2084P0800X MD433809 PA Primary
Child & Adolescent Psychiatry Physician 2084P0804X MD433809 PA

Addresses

Primary practice location

4061 NE 110TH St
Seattle, WA 98125-5806

Mailing address

4061 NE 110TH St
Seattle, WA 98125-5806
Phone (412) 552-8189

Other identifiers 1

IdentifierTypeStateIssuer
102201646MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080929000453 PA Practitioner - Psychiatry 5799748497 Reassigns benefits to 1 organization
I20170627002144 WA Practitioner - Psychiatry 5799748497 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Cincinnati College of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

532 W Pittsburgh St
Greensburg, PA 15601-2239

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD433809PAMDPsychiatry Physician
121046NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Feb 18, 2013 Accepting new patients
Multicare Health System CurrentSince May 5, 2017 Accepting new patients
Multicare Health System CurrentSince May 5, 2017 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Feb 18, 2013 Accepting new patients
Quality Behavioral Health CurrentSince Jan 6, 2020 Accepting new patients
Milestone Psychiatric & Psychological Services P C Psychiatry Past Accepting new patients

Locations

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

900 7th St
Clarkston, WA 99403
Phone (509) 758-3341

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Interoperability endpoints

  • Direct secure messaging: ayacona@direct.excelahealth.org
  • Direct secure messaging: ayacona281376@direct.multicare.org
  • Direct secure messaging: anthonyyacona@emg.allscriptsdirect.net

Organizations & group practices 8

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

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484956800000",
    "number": "1417913773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4061 NE 110TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255806",
            "telephone_number": "412-552-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4061 NE 110TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255806",
            "telephone_number": "412-552-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACONA",
        "first_name": "ANTHONY",
        "middle_name": "F.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2017-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "121046",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "121046",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD433809",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD433809",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102201646",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.