Individual provider Active NPI

Elizabeth Aquino Garcia-Janis, MD

  • Child & Adolescent Psychiatry Physician
  • Hill City, SD
National Provider Identifier
1417987231
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD-17894 Issued in HI
Practice address
23402 Mineral LN
Hill City, SD 57745-6617
Phone
(605) 441-7803
NPI assigned
Jul 4, 2006
Last updated
Dec 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 4301100092 MI
Child & Adolescent Psychiatry Physician 2084P0804X DR.0052141 CO
Child & Adolescent Psychiatry Physician 2084P0804X 01033027A IN
Child & Adolescent Psychiatry Physician 2084P0804X 21686 KY
Child & Adolescent Psychiatry Physician 2084P0804X 9235 SD
Child & Adolescent Psychiatry Physician 2084P0804X MD-17894 HI Primary

Addresses

Primary practice location

23402 Mineral LN
Hill City, SD 57745-6617

Mailing address

23402 Mineral LN
Hill City, SD 57745-6617
Phone (605) 441-7803

Other names 1

  • Dr. Elizabeth A. Garcia-Gray Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150129000611 CO Practitioner - Psychiatry 7315080983 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0052141COMDChild & Adolescent Psychiatry Physician
MD-17894HIMDChild & Adolescent Psychiatry Physician
21686KYMDChild & Adolescent Psychiatry Physician
4301100092MIMDChild & Adolescent Psychiatry Physician
9235SDMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Denver, Inc. Child & Adolescent Psychiatry CurrentSince Feb 14, 2022 Accepting new patients
Uhs of Denver, Inc. CurrentSince Feb 14, 2022 Accepting new patients
Seven Counties Services, Inc. Past Accepting new patients

Locations

8565 Poplar Way
Highlands Ranch, CO 80130
Phone (720) 348-2800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1417987231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23402 MINERAL LN",
            "city": "HILL CITY",
            "state": "SD",
            "postal_code": "577456617",
            "telephone_number": "605-441-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23402 MINERAL LN",
            "city": "HILL CITY",
            "state": "SD",
            "postal_code": "577456617",
            "telephone_number": "605-441-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-JANIS",
        "first_name": "ELIZABETH",
        "middle_name": "AQUINO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "4301100092",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CO",
            "license": "DR.0052141",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IN",
            "license": "01033027A",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KY",
            "license": "21686",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SD",
            "license": "9235",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "HI",
            "license": "MD-17894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "GARCIA-GRAY",
            "middle_name": "A.",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hill City, SD

Sources for this page

Verify at the official NPI Registry.