Active NPI
Yusuke Sagawa, MD
- Psychiatry Physician
- Westminster, MD
National Provider Identifier
1922067438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0052988
- Practice address
- 288 E Green St
Westminster, MD 21157-5410 - Phone
- (410) 751-5970
- Fax
- (410) 751-5974
- NPI assigned
- Mar 22, 2006
- Last updated
- Aug 4, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D0052988 | MD | Primary |
| Psychiatry Physician | 2084P0800X | C1-0009254 | DE |
Addresses
Primary practice location
288 E Green St
Westminster, MD 21157-5410
Mailing address
288 E Green St
Westminster, MD 21157-5410
Phone (410) 751-5970
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 |
|---|---|---|---|
| C1-0009254 | DE | MD | Psychiatry Physician |
| D0052988 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Dept of Mental Health Accounting Office | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba Midlands Crisis Stabilization Center
- Community/Behavioral Health Agency
- Columbia, SC
- NPI 1083421994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375574400000",
"number": "1922067438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288 E GREEN ST",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211575410",
"telephone_number": "410-751-5970",
"fax_number": "410-751-5974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "288 E GREEN ST",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211575410",
"telephone_number": "410-751-5970",
"fax_number": "410-751-5974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAGAWA",
"first_name": "YUSUKE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2013-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0052988",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DE",
"license": "C1-0009254",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.