Individual provider Active NPI

Elisia Yanasak, PH.D.

  • Clinical Psychologist
  • Tacoma, WA
National Provider Identifier
1851404529
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY00002997 Issued in WA
Practice address
VA Pshcs, American LK. Div. (a-116-Atc)
9600 Veterans Dr. S.W.
Tacoma, WA 98493
Phone
(253) 583-1661
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY00002997 WA Primary

Addresses

Primary practice location

VA Pshcs, American LK. Div. (a-116-Atc)
9600 Veterans Dr. S.W.
Tacoma, WA 98493

Mailing address

Mental Health Service (a-116-Atc)
9600 Veterans Dr. S.W.
Tacoma, WA 98493-0001
Phone (253) 583-1661

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 Philosophy

State licenses

LicenseStateTypeSpecialty
PY00002997WAMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1851404529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MENTAL HEALTH SERVICE (A-116-ATC)",
            "address_2": "9600 VETERANS DR. S.W.",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984930001",
            "telephone_number": "253-583-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA PSHCS, AMERICAN LK. DIV. (A-116-ATC)",
            "address_2": "9600 VETERANS DR. S.W.",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98493",
            "telephone_number": "253-583-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANASAK",
        "first_name": "ELISIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00002997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.