Provider Demographics
NPI:1316151889
Name:SAKAI, JOSEPH THOMAS (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:THOMAS
Last Name:SAKAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12469 E 17TH PL BLDG 400
Mailing Address - Street 2:PO BOX 6508, MAIL STOP F478
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2521
Mailing Address - Country:US
Mailing Address - Phone:303-724-3182
Mailing Address - Fax:
Practice Address - Street 1:12469 E 17TH PL BLDG 400
Practice Address - Street 2:MAIL STOP F478
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2521
Practice Address - Country:US
Practice Address - Phone:303-724-3182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO378312084P0800X, 2084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO19400241Medicaid