1023360393 NPI number — YES PSYCHOTHERAPY SERVICES LCSW PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023360393 NPI number — YES PSYCHOTHERAPY SERVICES LCSW PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
YES PSYCHOTHERAPY SERVICES LCSW PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023360393
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/10/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7235 112TH ST
Provider Second Line Business Mailing Address:
APT. 12C
Provider Business Mailing Address City Name:
FOREST HILLS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11375-5469
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-896-5615
Provider Business Mailing Address Fax Number:
718-576-2693

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10915 QUEENS BLVD
Provider Second Line Business Practice Location Address:
LL
Provider Business Practice Location Address City Name:
FOREST HILLS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11375-5482
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-896-5615
Provider Business Practice Location Address Fax Number:
718-576-2693
Provider Enumeration Date:
10/10/2012

Additional Information

Authorized Official

Authorized Official Last Name:
YANKELEVICH
Authorized Official First Name:
IRIS
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
718-896-5615

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  079893 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com