Individual provider Active NPI

Michael Anthony Washinsky Jr., D.O.

  • Psychiatry Physician
  • Durango, CO
National Provider Identifier
1598079030
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0056889 Issued in CO
Practice address
1800 East 3Rd Avenue
Suite 102
Durango, CO 81301
Phone
(970) 799-6911
Fax
(970) 360-5545
NPI assigned
Jul 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0056889 CO Primary
Psychiatry Physician 2084P0800X AG3361893-B415 NM

Addresses

Primary practice location

1800 East 3Rd Avenue
Suite 102
Durango, CO 81301

Mailing address

1800 E 3Rd Ave Ste 111
Durango, CO 81301-5046
Phone (970) 799-6911

Other practice location 1

1099 Main Ave
Suite 317
Durango, CO 81301-5157
Phone (970) 799-6911

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
I20170914002756 CO Practitioner - Psychiatry 4587938519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Philadelphia College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1800 E 3Rd Ave
Suite 111
Durango, CO 81301-5046
Phone (970) 799-6911

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0056889COMDPsychiatry Physician
AG3361893-B415NMMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Michael Washinsky, LLC Psychiatry CurrentSince Mar 28, 2017 Accepting new patients

Locations

1800 E 3rd Ave
Ste 111
Durango, CO 81301
Phone (970) 259-4770

1800 E 3rd Ave
Ste 102
Durango, CO 81301
Phone (970) 259-0440

1099 Main Ave
Ste 317
Durango, CO 81301
Phone (970) 799-6911

Organizations & group practices 1

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": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1598079030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E 3RD AVE STE 111",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015046",
            "telephone_number": "970-799-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 EAST 3RD AVENUE",
            "address_2": "SUITE 102",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81301",
            "telephone_number": "970-799-6911",
            "fax_number": "970-360-5545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1099 Main Ave",
            "address_2": "Suite 317",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813015157",
            "country_code": "US",
            "telephone_number": "970-799-6911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINSKY",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "0056889",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "AG3361893-B415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.