SOUTHEAST PSYCHIATRY
NPI 1104068378
Psychiatry & Neurology - Psychiatry in Juneau, AK

Active since April 02, 2009

NPPES record last updated: April 2, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southeast Psychiatry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST PSYCHIATRY (NPI 1104068378) is a healthcare organization registered as a psychiatry in Juneau, Alaska and active in the NPI registry since April 2009. The organization lists Paul Jiri Topol, Proprietor, as its authorized official.

NPPES Registry Identity

NPI1104068378
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSOUTHEAST PSYCHIATRY
Location Address301 3RD STJuneau, AK 99801-1204
Mailing Address301 3rd StJuneau, AK 99801-1204 · (907) 209-8962
Organization SubpartNo
Authorized OfficialPaul Jiri TopolProprietor · (907) 209-8962
Enumeration DateApril 2, 2009
✔ NPI 1104068378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in AK · 5960
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
301 3RD ST, Juneau, AK 99801

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeast Psychiatry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southeast Psychiatry, which bills Medicare for the services this clinician delivers.

Clinician (1)

Psychiatry
NPI 1417038001
2 MARINE WAY SUITE 204
Juneau, AK 99801
(907) 209-8962
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Psychiatry's NPI number?

The NPI number for Southeast Psychiatry is 1104068378. It was assigned to this organization in the NPPES registry on April 2, 2009.

Where is Southeast Psychiatry located?

Southeast Psychiatry is located at 301 3rd St, Juneau, AK 99801. The listed phone number is (907) 209-8962.

What is Southeast Psychiatry's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Southeast Psychiatry enrolled in Medicare?

Yes. Southeast Psychiatry is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Psychiatry?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Southeast Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southeast Psychiatry was last updated on April 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.