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GREATLAND MENTAL HEALTH, LLC
NPI 1477743532
Psychiatry & Neurology - Psychiatry in Anchorage, AK

Active since July 25, 2007
1407 W 31ST AVE, STE 201, ANCHORAGE, AK 99503(907) 929-4009(907) 929-4902 Get Directions Write a Review

NPPES record last updated: July 25, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Greatland Mental Health, Llc NPPES

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

GREATLAND MENTAL HEALTH, LLC (NPI 1477743532) is a healthcare organization registered as a psychiatry in Anchorage, Alaska and active in the NPI registry since July 2007. The organization lists Theresa M Ronco, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1477743532
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameGREATLAND MENTAL HEALTH, LLC
Location Address1407 W 31ST AVE, STE 201Anchorage, AK 99503-3678
Mailing AddressPo Box 111810Anchorage, AK 99511-1810 · (907) 929-4009 · Fax (907) 929-4902
Phone(907) 929-4009
Fax(907) 929-4902
Organization SubpartNo
Authorized OfficialTheresa M RoncoBilling Manager · (907) 632-7577
Enumeration DateJuly 25, 2007
✔ NPI 1477743532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1407 W 31ST AVE, Anchorage, AK 99503
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Other Identifiers 3

MedicaidMH3538AK
Medicare OSCAR/certification160485AK
Medicare UPINH92084

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Greatland Mental Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Greatland Mental Health, LLC, which bills Medicare for the services they deliver. Of these, 11 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Psychiatry5
Mental Health Counselor3
Nurse Practitioner3
Clinical Psychologist2

Clinicians, nearest first (13)

Michael Blakey, PSY. D
Clinical Psychologist
NPI 1396953691
1400 W. BENSON BLVD STE 315
Anchorage, AK 99503
(907) 929-4009
✔ PECOS✔ Accepts Medicare0.1 mi
Connie Chevalier, ANP
Nurse Practitioner
NPI 1316992191
1400 W BENSON BLVD STE 315
Anchorage, AK 99503
(907) 929-4009
✔ PECOS✔ Accepts Medicare0.1 mi
Judith Dean, PHD
Clinical Psychologist
NPI 1548283096
1400 W. BENSON BLVD., SUITE 315
Anchorage, AK 99503
(907) 929-4009
✔ PECOS✔ Accepts Medicare0.1 mi
Shawnalea Fox, MS
Mental Health Counselor
NPI 1932712577
1400 W BENSON BLVD STE 315
Anchorage, AK 99503
(907) 929-4009
✔ PECOS✔ Accepts Medicare0.1 mi
Eric Garby, M.D.
Psychiatry
NPI 1891826400
1400 W BENSON BLVD SUITE 315
Anchorage, AK 99503
(907) 929-4009
✔ PECOS✔ Accepts Medicare0.1 mi
Masao Yanagida, M.D.
Psychiatry
NPI 1467431601
1400 W BENSON BLVD STE 315
Anchorage, AK 99503
(907) 929-4009
✔ PECOS✔ Accepts Medicare0.1 mi
Sarah Mccutcheon, M.D.
Psychiatry
NPI 1609070374
GREATLAND CLINICAL ASSOCIATES 1400 W BENSON BLVD STE 315
Anchorage, AK 99503
(907) 929-4009
✔ PECOS0.6 mi
Sara Kozup-Evon, DNP, APRN, PMHNP-BC
Nurse Practitioner
NPI 1164919411
2600 DENALI ST STE 300
Anchorage, AK 99503
(907) 318-9050
✔ PECOS✔ Accepts Medicare1.1 mi
Ann Yates, ANP
Nurse Practitioner
NPI 1386913796
4020 FOLKER ST
Anchorage, AK 99508
(907) 563-1000
✔ PECOS✔ Accepts Medicare2.7 mi
Aryeh Levenson, M.D.
Psychiatry
NPI 1245303650
8717 DIMOND D CIR
Anchorage, AK 99515
(907) 771-0536
✔ PECOS✔ Accepts Medicare3.7 mi
Ronald Feigin, MD
Psychiatry
NPI 1568435113
4201 TUDOR CENTRE DR SUITE 303
Anchorage, AK 99508
(907) 561-1847
✔ PECOS3.9 mi
Lara Collis, M.A.
Mental Health Counselor
NPI 1194055400
3712 S FERDINAND ST
Seattle, WA 98118
(206) 723-2825
✔ PECOS✔ Accepts Medicare1,441 mi
Allison Koos Fox
Mental Health Counselor
NPI 1124335377
1333 IRIS AVE
Boulder, CO 80304
(303) 413-6212
✔ PECOS✔ Accepts Medicare2,374 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 Greatland Mental Health, LLC's NPI number?

The NPI number for Greatland Mental Health, LLC is 1477743532. It was assigned to this organization in the NPPES registry on July 25, 2007.

Where is Greatland Mental Health, LLC located?

Greatland Mental Health, LLC is located at 1407 W 31st Ave Ste 201, Anchorage, AK 99503. The listed phone number is (907) 929-4009.

What is Greatland Mental Health, LLC's specialty?

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

Is Greatland Mental Health, LLC enrolled in Medicare?

Yes. Greatland Mental Health, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Greatland Mental Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to Greatland Mental Health, LLC. 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. The largest specialties are Psychiatry (5), Mental Health Counselor (3) and Nurse Practitioner (3). Of these, 11 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Greatland Mental Health, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Greatland Mental Health, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Greatland Mental Health, LLC was last updated on July 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.