Organization Active NPI

Dr. Michael Washinsky, LLC

  • Psychiatry Physician
  • Durango, CO
National Provider Identifier
1649710583
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0056889 Issued in CO
Legal business name
DR. MICHAEL WASHINSKY, LLC
Practice address
1800 East 3Rd Ave.
Suite 102
Durango, CO 81301
Phone
(970) 799-6911
Fax
(970) 360-5545
NPI assigned
Feb 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Authorized official

Name
Dr. Michael Washinsky, D.O.NPI 1598079030
Title
Owner/Physician
Phone
(970) 799-6911

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 0056889 CO Primary

Addresses

Primary practice location

1800 East 3Rd Ave.
Suite 102
Durango, CO 81301

Mailing address

1800 East 3Rd Ave.
Suite 102
Durango, CO 81301
Phone (970) 799-6911

Other identifiers 1

IdentifierTypeStateIssuer
47913533MedicaidCO

Other names 1

  • Dr. Michael Washinsky General Psychiatry Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170914002438 CO Part B Supplier - Clinic/Group Practice 3678847605 Receives reassigned benefits from 1 practitioner
Practice locations: Durango, CO

National Provider Directory

National Provider Directory

Locations

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

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

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": "1487980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1649710583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 EAST 3RD AVE.",
            "address_2": "SUITE 102",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81301",
            "telephone_number": "970-799-6911",
            "fax_number": "970-360-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 EAST 3RD AVE.",
            "address_2": "SUITE 102",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81301",
            "telephone_number": "970-799-6911",
            "fax_number": "970-360-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHAEL WASHINSKY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-25",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "WASHINSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "970-799-6911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "0056889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47913533",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Michael Washinsky General Psychiatry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.