Ed Yerka Psychological Consultant, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP 4390 Issued in MN

Legal business name

ED YERKA PSYCHOLOGICAL CONSULTANT, PLLC

Practice address

238 W Main St Ste 7
Marshall, MN 56258-1398

Phone

(507) 401-2026

Fax

(662) 601-3968

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edwin Yerka, LPNPI 1720091879

Title

Owner

Phone

(507) 530-2837

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edwin Charles Yerka, PHD, LP

  • Psychologist
  • Marshall, MN
  • NPI 1720091879

  Clinical

  NPD Authorized official
• Gina Louise Kontz, M.A.

  • Audiologist-Hearing Aid Fitter
  • Montevideo, MN
  • NPI 1164428496
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1043344849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 W THOMAS AVE",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582244",
            "telephone_number": "507-530-2837",
            "fax_number": "866-260-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 W MAIN ST STE 7",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581398",
            "telephone_number": "507-401-2026",
            "fax_number": "662-601-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ED YERKA PSYCHOLOGICAL CONSULTANT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "YERKA",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-530-2837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP 4390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "816137000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lin Dressen, LPN, IBCLC
• Rebecca Drietz-Steinbronn, LICSW
• Duraiappa Dental Services PC
• Kelly Dvorak, D.C.
• Alexandria Christine Echols-Simpson, MD
• Callie Jaye Eichten
• Christopher Eichten, DC
• Neil Thomas Eichten, SLP
• Connie Sue Einck, LPN
• Sandra Jo Ellingboe

• Clinical Psychologist in Marshall, MN
• Providers in Marshall, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.