Organization Active NPI

Mark Yeakley MD PA

  • Geriatric Psychiatry Physician
  • Rowlett, TX
National Provider Identifier
1083803837
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
E9469 Issued in TX
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

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Dr. Mark Yeakley, MDNPI 1821171836
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)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
152122101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040720001115 TX Part B Supplier - Clinic/Group Practice 6507846722 Receives reassigned benefits from 1 practitioner
Practice locations: Rowlett, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

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.

Verify at the official NPI Registry.