Individual provider Active NPI

Asa Greenwood Yancey Jr., M.D.

  • Child & Adolescent Psychiatry Physician
  • Centennial, CO
National Provider Identifier
1841609682
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
29437 Issued in CO
Practice address
6851 S Holly Cir
Suite 260
Centennial, CO 80112-1019
Phone
(303) 740-0400
Fax
(303) 770-1252
NPI assigned
Aug 6, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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 29437 CO
Child & Adolescent Psychiatry Physician 2084P0804X 29437 CO Primary

Addresses

Primary practice location

6851 S Holly Cir
Suite 260
Centennial, CO 80112-1019

Mailing address

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

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29437COMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asa G. Yancey, Jr., M.D., P.C. Child & Adolescent Psychiatry Past Accepting new patients

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": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1841609682",
    "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 S HOLLY CIR",
            "address_2": "SUITE 260",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121019",
            "telephone_number": "303-740-0400",
            "fax_number": "303-770-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCEY",
        "first_name": "ASA",
        "middle_name": "GREENWOOD",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "29437",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CO",
            "license": "29437",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 6, 2014; 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.