Yatming Cassandra Ma, PSYD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

071005296 Issued in IL

Practice address

2200 S Main St Ste 113
Lombard, IL 60148-5364

Phone

(630) 209-4554

NPI assigned

Sep 8, 2023

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Compassionate Communities for Children

  • Clinical Psychologist
  • Lombard, IL
  • NPI 1447936398
  NPD

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1053198580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S MAIN ST STE 306",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485366",
            "telephone_number": "630-209-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S MAIN ST STE 113",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485364",
            "telephone_number": "630-209-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "YATMING",
        "middle_name": "CASSANDRA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071005296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki L Lumpkin, D.C., O.M.D.
• Luxottica of America Inc
• Catherine P Lyons, LCSW
• M.Z. Sait, MD, LTD.
• Jennifer Ma, DC
• Nathan Mach
• Dana Madigan, DC
• Madrigal Consulting
• Madrigal Consulting and Counseling LLP
• Cesar Madrigal Jr., LCSW

• Clinical Child & Adolescent Psychologist in Lombard, IL
• Providers in Lombard, IL by specialty
• Clinical Child & Adolescent Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.