Active NPI
Mark Yeakley MD PA
- Geriatric Psychiatry Physician
- Rowlett, TX
National Provider Identifier
1083803837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- E9469
- Legal business name
- MARK YEAKLEY MD PA
- Practice address
- 7102 Shipp Rd
Rowlett, TX 75088-4226 - Phone
- (877) 305-2771
- Fax
- (972) 226-8359
- NPI assigned
- Oct 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Yeakley, MD
- Title
- Physician
- Phone
- (877) 305-2771
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | E9469 | TX | Primary |
Addresses
Primary practice location
7102 Shipp Rd
Rowlett, TX 75088-4226
Mailing address
7102 Shipp Rd
Rowlett, TX 75088-4226
Phone (972) 226-8359
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152122101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Rowlett, TX
- NPI 1821171836
-
- Neurology Physician
- Southfield, MI
- NPI 1548269897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755043200000",
"number": "1083803837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7102 SHIPP RD",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750884226",
"telephone_number": "972-226-8359",
"fax_number": "972-226-8359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7102 SHIPP RD",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750884226",
"telephone_number": "877-305-2771",
"fax_number": "972-226-8359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK YEAKLEY MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-17",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A",
"authorized_official_last_name": "YEAKLEY",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "877-305-2771",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "TX",
"license": "E9469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152122101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rowlett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.