Individual provider Active NPI

Yesenia Guadalupe Flores-Pinos, PSY.D.

  • Psychologist
  • Teaneck, NJ
National Provider Identifier
1144577446
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00492800 Issued in NJ
Practice address
757 Teaneck Rd Ste a
Teaneck, NJ 07666-4241
Phone
(973) 432-7230
NPI assigned
Aug 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 35SI00492800 NJ Primary

Addresses

Primary practice location

757 Teaneck Rd Ste a
Teaneck, NJ 07666-4241

Mailing address

409 Farnham Ave
Lodi, NJ 07644-1204
Phone (973) 432-7230

Other identifiers 2

IdentifierTypeStateIssuer
0672165MedicaidNJ
0672157MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121105000065 NJ Practitioner - Clinical Psychologist 5597916338 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bergen Psychological Services, LLC CurrentSince Nov 1, 2013 Accepting new patients
Nicola Weiss, PH.D., LLC PastSince Sep 1, 2004 Accepting new patients
Debra a Turitz MSW, LCSW Past Accepting new patients

Locations

757 Teaneck Rd
Ste A
Teaneck, NJ 07666
Phone (973) 432-7230

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1144577446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 FARNHAM AVE",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441204",
            "telephone_number": "973-432-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 TEANECK RD STE A",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664241",
            "telephone_number": "973-432-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES-PINOS",
        "first_name": "YESENIA",
        "middle_name": "GUADALUPE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00492800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0672165",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0672157",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.