Individual provider Active NPI

Masao Yanagida, M.D.

  • Psychiatry Physician
  • Anchorage, AK
National Provider Identifier
1467431601
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5973 Issued in AK
Practice address
1400 W Benson Blvd Ste 315
Anchorage, AK 99503-3677
Phone
(907) 929-4009
NPI assigned
Jan 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5973 AK Primary

Addresses

Primary practice location

1400 W Benson Blvd Ste 315
Anchorage, AK 99503-3677

Mailing address

1400 W Benson Blvd Ste 315
Anchorage, AK 99503-3677
Phone (907) 929-4009

Other identifiers 1

IdentifierTypeStateIssuer
34631MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20111108000576 AK Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 5890609762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
State University of New York at Stony Brook, School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greatland Mental Health LLCGroup PAC ID 4385794437, 12 clinicians

Practice addresses (Care Compare)

1400 W Benson Blvd
Suite 315
Anchorage, AK 99503-3677
Phone (907) 929-4009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5973AKMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greatland Mental Health, LLC Psychiatry CurrentSince Sep 1, 2015 Accepting new patients
True North TMS LLC Psychiatry PastSince Oct 10, 2024 Accepting new patients
Willow, LLC Psychiatry PastSince Aug 23, 2009 Accepting new patients

Locations

1400 W Benson Blvd
Ste 315
Anchorage, AK 99503
Phone (907) 929-4009

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1467431601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W BENSON BLVD STE 315",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033677",
            "telephone_number": "907-929-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W BENSON BLVD STE 315",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033677",
            "telephone_number": "907-929-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANAGIDA",
        "first_name": "MASAO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "5973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34631",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.