Judith Salle Yongue, MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

13542 Issued in NC

Practice address

107 Commerce St
Suite D
Greenville, NC 27858-5027

Phone

(252) 355-2768

Fax

(252) 355-0403

NPI assigned

Mar 29, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dr. Judith S. Yongue

  • Psychiatry Physician
  • Greenville, NC
  • NPI 1033210521
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1104887355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 COMMERCE ST",
            "address_2": "SUITE D",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585027",
            "telephone_number": "252-355-2768",
            "fax_number": "252-355-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 COMMERCE ST",
            "address_2": "SUITE D",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585027",
            "telephone_number": "252-355-2768",
            "fax_number": "252-355-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONGUE",
        "first_name": "JUDITH",
        "middle_name": "SALLE",
        "credential": "MD   PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "13542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8989714",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Allen Yates, MD
• Shawn Yeazell
• Jessica Hudson Yelverton, NNP
• Rachel Yip
• Anna Yoder
• Yotaron Enrichment Resource Center
• Geoffrey You, M.D.
• Aly Younes, MD
• Young at Heart Elderly Sitting Service
• Catherine Darlene Young

• Psychiatry Physician in Greenville, NC
• Providers in Greenville, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.