Active NPI
Zachary Yeoman, PSY.D
- Forensic Psychologist
- Martinsville, NJ
National Provider Identifier
1134581416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 5463
- Practice address
- 792 Chimney Rock Rd Ste C
Martinsville, NJ 08836-2271 - Phone
- (908) 333-4646
- NPI assigned
- Mar 24, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 5463 | NJ | Primary |
Addresses
Primary practice location
792 Chimney Rock Rd Ste C
Martinsville, NJ 08836-2271
Mailing address
792 Chimney Rock Rd Ste C
Martinsville, NJ 08836-2271
Phone (908) 333-4646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 23, 2024 through Jul 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5463 | NJ | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1134581416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "792 CHIMNEY ROCK RD STE C",
"city": "MARTINSVILLE",
"state": "NJ",
"postal_code": "088362271",
"telephone_number": "908-333-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "792 CHIMNEY ROCK RD STE C",
"city": "MARTINSVILLE",
"state": "NJ",
"postal_code": "088362271",
"telephone_number": "908-333-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEOMAN",
"first_name": "ZACHARY",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-24",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "NJ",
"license": "5463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.