Active NPI
Yolanda C Edler, M.D.
- Psychiatry Physician
- Bad Axe, MI
National Provider Identifier
1023125622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301057513
- Practice address
- 1375 R Dale Wertz Dr
Bad Axe, MI 48413-1365 - Phone
- (989) 269-9293
- NPI assigned
- Aug 23, 2006
- Last updated
- Jun 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301057513 | MI | Primary |
Addresses
Primary practice location
1375 R Dale Wertz Dr
Bad Axe, MI 48413-1365
Mailing address
1375 R Dale Wertz Dr
Bad Axe, MI 48413-1365
Phone (989) 269-9293
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103276390 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301057513 | MI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1023125622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1375 R DALE WERTZ DR",
"city": "BAD AXE",
"state": "MI",
"postal_code": "484131365",
"telephone_number": "989-269-9293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 R DALE WERTZ DR",
"city": "BAD AXE",
"state": "MI",
"postal_code": "484131365",
"telephone_number": "989-269-9293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDLER",
"first_name": "YOLANDA",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301057513",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103276390",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bad Axe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.