Gracie Yeo, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD466444 Issued in PA

Practice address

30 S Valley Rd Ste 101
Paoli, PA 19301-1469

Phone

(267) 843-4867

NPI assigned

May 8, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1003294216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S VALLEY RD STE 101",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011469",
            "telephone_number": "267-843-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S VALLEY RD STE 101",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011469",
            "telephone_number": "267-843-4867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Grant St Ste 270",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152191408",
            "country_code": "US",
            "telephone_number": "878-999-8390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3477 Corporate Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Center Valley",
            "state": "PA",
            "postal_code": "180348237",
            "country_code": "US",
            "telephone_number": "484-763-4025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1528 Walnut St Ste 1414",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191023610",
            "country_code": "US",
            "telephone_number": "267-358-3155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Haddon Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Collingswood",
            "state": "NJ",
            "postal_code": "081081900",
            "country_code": "US",
            "telephone_number": "609-573-3314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEO",
        "first_name": "GRACIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-08",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA11256200",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD466444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yanjun Wu
• Michael Yan, PHARM. D.
• Dawn L Yavuz, MA
• Irina Yegudkina, MD
• Maureen L Yelovich, MD
• Alan S Yeung, DDS
• Yong Hwan Yi, L.AC.
• Kiyo Yoda, PHARM.D.
• Lauren Young, MD
• Your Best Hearing, LLC

• Psychiatry Physician in Paoli, PA
• Providers in Paoli, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.