Active NPI
Yesenia Guadalupe Flores-Pinos, PSY.D.
- Psychologist
- Teaneck, NJ
National Provider Identifier
1144577446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00492800
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0672165 | Medicaid | NJ | |
| 0672157 | Medicaid | NJ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121105000065 | NJ | Practitioner - Clinical Psychologist | 5597916338 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bergen Psychological Services, LLC | Current | Accepting new patients | |
| Nicola Weiss, PH.D., LLC | Past | 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.
-
- Clinical Social Worker
- Teaneck, NJ
- NPI 1891217519
-
- Clinical Psychologist
- Englewood, NJ
- NPI 1487716916
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.