Active NPI
Scott Terranella, M.D., M.P.H.
- Psychiatry Physician
- Anchorage, AK
National Provider Identifier
1770629347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036147635
- Practice address
- 4020 Folker St
Anchorage, AK 99508-5321 - Phone
- (907) 563-1000
- Fax
- (907) 561-1416
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 046601 | CT | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 5751 | AK | |
| Psychiatry Physician | 2084P0800X | 046601 | CT | |
| Psychiatry Physician | 2084P0800X | 036147635 | IL | Primary |
| Psychiatry Physician | 2084P0800X | 5751 | AK |
Addresses
Primary practice location
4020 Folker St
Anchorage, AK 99508-5321
Mailing address
4020 Folker St
Anchorage, AK 99508-5321
Phone (907) 563-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004039244 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5751 | AK | MD | Public Health & General Preventive Medicine Physician |
| 036147635 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridges Healthcare Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/bridgesct/r4/
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.
-
- Adult Mental Health Clinic/Center
- Milford, CT
- NPI 1851350300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551398400000",
"number": "1770629347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 FOLKER ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085321",
"telephone_number": "907-563-1000",
"fax_number": "907-561-1416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 FOLKER ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085321",
"telephone_number": "907-563-1000",
"fax_number": "907-561-1416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRANELLA",
"first_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2019-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "CT",
"license": "046601",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "AK",
"license": "5751",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "046601",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036147635",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AK",
"license": "5751",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004039244",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.