Ellen Yeagle, PSY.D, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PMH 1251 Issued in FL

Practice address

3640 N Federal Hwy Ste B3
#128
Lighthouse Point, FL 33064-6648

Phone

(609) 529-5815

NPI assigned

Mar 16, 2016

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1114388279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 SWEETWATER LN APT 313",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317125",
            "telephone_number": "609-529-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 N FEDERAL HWY STE B3",
            "address_2": "#128",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646648",
            "telephone_number": "609-529-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGLE",
        "first_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "PMH 1251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Lighthouse Point, FL
• Providers in Lighthouse Point, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.