NPIMap

Organization Active NPI

Asa G. Yancey, Jr., M.D., P.C.

  • Child & Adolescent Psychiatry Physician
  • Centennial, CO
National Provider Identifier
1598855595
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
29437 Issued in CO
Legal business name
ASA G. YANCEY, JR., M.D., P.C.
Practice address
6851 South Holly Circle
Suite 260
Centennial, CO 80112-1050
Phone
(303) 740-0400
Fax
(303) 770-1252
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Dr. Asa Greenwood Yancey Jr., M.D.NPI 1841609682
Title
Psychiatrist
Phone
(303) 740-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X 29437 CO Primary

Addresses

Primary practice location

6851 South Holly Circle
Suite 260
Centennial, CO 80112-1050

Mailing address

6851 South Holly Circle
Suite 260
Centennial, CO 80112-1050
Phone (303) 740-0400

Other identifiers 1

IdentifierTypeStateIssuer
01294370MedicaidCO

National Provider Directory

National Provider Directory

Locations

6851 S Holly Cir
Ste 260
Centennial, CO 80112
Phone (303) 740-0400

Practitioners & affiliated clinicians

Practitioners 1

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1598855595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 SOUTH HOLLY CIRCLE",
            "address_2": "SUITE 260",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121050",
            "telephone_number": "303-740-0400",
            "fax_number": "303-770-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 SOUTH HOLLY CIRCLE",
            "address_2": "SUITE 260",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121050",
            "telephone_number": "303-740-0400",
            "fax_number": "303-770-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASA G. YANCEY, JR., M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "YANCEY",
        "authorized_official_first_name": "ASA",
        "authorized_official_middle_name": "GREENWOOD",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "303-740-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CO",
            "license": "29437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01294370",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.