Individual provider Active NPI

Cheryl Kay Yatsko, PHD

  • Psychologist
  • Columbus, GA
National Provider Identifier
1033491212
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY002187 Issued in GA
Practice address
4225 University Ave
Schuster Center, Third Floor
Columbus, GA 31907-5679
Phone
(706) 507-8741
NPI assigned
Sep 14, 2011
Last updated
Sep 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY002187 GA Primary

Addresses

Primary practice location

4225 University Ave
Schuster Center, Third Floor
Columbus, GA 31907-5679

Mailing address

4225 University Ave
Schuster Center, Third Floor
Columbus, GA 31907-5679
Phone (706) 507-8741

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY002187GAMDPsychologist
002187GAMDEmergency Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1033491212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 UNIVERSITY AVE",
            "address_2": "SCHUSTER CENTER, THIRD FLOOR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319075679",
            "telephone_number": "706-507-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 UNIVERSITY AVE",
            "address_2": "SCHUSTER CENTER, THIRD FLOOR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319075679",
            "telephone_number": "706-507-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATSKO",
        "first_name": "CHERYL",
        "middle_name": "KAY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY002187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.