Justina Yohannan

Primary specialty

PsychologistTaxonomy code 103T00000X

License

38686 Issued in TX

Practice address

500 Northside Xing
Macon, GA 31210-2376

Phone

(248) 953-8147

NPI assigned

Jan 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1013678432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 SPRINGFIELD BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NORTHSIDE XING",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102376",
            "telephone_number": "248-953-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOHANNAN",
        "first_name": "JUSTINA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "38686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan N Yates, L.C.S.W.
• Julia Elizabeth Yawn, CPNP
• Ge Ye, DPM
• Joshua Leslie Yeomans, CRNA
• Tyler Harris Yeomans, MD
• Joshua Yoon, DO
• Seung Geun Yoon
• Julia Lane York, NP-C
• Kenji Yoshida
• Bobbie Jean Young, NP-C

• Psychologist in Macon, GA
• Providers in Macon, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.