Individual provider Active NPI

Scott Merrill Yarosh, MD

  • Psychiatry Physician
  • St. Paul, MN
National Provider Identifier
1871571109
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
32260 Issued in MN
Practice address
1600 University Avenue West
Suite 205
St. Paul, MN 55104
Phone
(651) 955-6255
Fax
(651) 493-4178
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 32260 MN Primary

Addresses

Primary practice location

1600 University Avenue West
Suite 205
St. Paul, MN 55104

Mailing address

1600 Univeristy Avenue West
Suite 205
St. Paul, MN 55104
Phone (651) 955-6255

Other identifiers 3

IdentifierTypeStateIssuer
36A90YAOtherMNBCBS OF MN
1510003OtherMNMEDICA
934795000MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040821000179 MN Practitioner - Psychiatry 9931091006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Minnesota Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scott M Yarosh, LLCGroup PAC ID 5698801140, 2 clinicians

Practice addresses (Care Compare)

1600 University Ave W
Suite 312
Saint Paul, MN 55104-3800
Phone (651) 955-6255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32260MNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott M Yarosh, LLC CurrentSince Dec 15, 2009 Accepting new patients
Healthwise Psychology, PA CurrentSince May 7, 2014 Accepting new patients
Psychiatric Recovery PA PastSince Dec 31, 1991 Accepting new patients
Bhsi, LLC Past Accepting new patients
Psych Recovery Inc Psychiatry PastSince May 15, 2009 Accepting new patients

Locations

11280 86th Ave N
Maple Grove, MN 55369
Phone (763) 400-7828

1600 University Ave W
Ste 312
Saint Paul, MN 55104
Phone (651) 955-6255

1600 University Ave W
Ste 205
Saint Paul, MN 55104
Phone (651) 493-4101

Interoperability endpoints

  • Direct secure messaging: syarosh@175.securemail.prognocis.com

Organizations & group practices 5

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1871571109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 UNIVERISTY AVENUE WEST",
            "address_2": "SUITE 205",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-955-6255",
            "fax_number": "651-493-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVENUE WEST",
            "address_2": "SUITE 205",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-955-6255",
            "fax_number": "651-493-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAROSH",
        "first_name": "SCOTT",
        "middle_name": "MERRILL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "32260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "36A90YA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1510003",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "934795000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Paul, MN

Sources for this page

Verify at the official NPI Registry.