Active NPI
Grace S Yang
- Behavior Analyst
- Stamford, CT
National Provider Identifier
1033608104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1262
- Practice address
- 30 Buxton Farm Rd Ste 105
Stamford, CT 06905-1210 - Phone
- (203) 674-8200
- NPI assigned
- May 4, 2018
- Last updated
- Sep 7, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Behavior Analyst | 103K00000X | 1262 | CT | Primary |
Addresses
Primary practice location
30 Buxton Farm Rd Ste 105
Stamford, CT 06905-1210
Mailing address
22 Old Kings Hwy
New Canaan, CT 06840-6413
Phone (917) 520-4251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110026265E | Medicaid | MA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The May Institute, Inc | Behavior Analyst | Past | Accepting new patients |
| Center for Social Enrichment and Educational Development, LLC | Past | Accepting new patients | |
| The May Institute, Inc | Past | Accepting new patients | |
| Seed Center | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Stamford, CT
- NPI 1730485756
-
- Community/Behavioral Health Agency
- Stamford, CT
- NPI 1811395700
-
- Behavior Analyst
- Randolph, MA
- NPI 1356318125
-
- Community/Behavioral Health Agency
- West Springfield, MA
- NPI 1740315233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1033608104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 OLD KINGS HWY",
"city": "NEW CANAAN",
"state": "CT",
"postal_code": "068406413",
"telephone_number": "917-520-4251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 BUXTON FARM RD STE 105",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069051210",
"telephone_number": "203-674-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "GRACE",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-04",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "1262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110026265E",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.