Terry Jean Yonker Psychiatric Nurse Practitioner PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

TERRY JEAN YONKER PSYCHIATRIC NURSE PRACTITIONER PC

Practice address

3458 Lyon Rd
Marion, NY 14505-9443

Phone

(315) 310-7148

Fax

(315) 310-7148

NPI assigned

Dec 30, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Terry Jean Yonker, PMHNP-BCNPI 1184817215

Title

Owner

Phone

(315) 310-7148

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terry Jean Yonker, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Canandaigua, NY
  • NPI 1184817215

  NY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1144817792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3458 LYON RD",
            "city": "MARION",
            "state": "NY",
            "postal_code": "145059443",
            "telephone_number": "315-310-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3458 LYON RD",
            "city": "MARION",
            "state": "NY",
            "postal_code": "145059443",
            "telephone_number": "315-310-7148",
            "fax_number": "315-310-7148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 N Main St",
            "address_purpose": "LOCATION",
            "city": "Canandaigua",
            "state": "NY",
            "postal_code": "144241446",
            "country_code": "US",
            "telephone_number": "585-919-0014",
            "fax_number": "585-393-0014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TERRY JEAN YONKER PSYCHIATRIC NURSE PRACTITIONER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-26",
        "status": "A",
        "authorized_official_last_name": "YONKER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-310-7148",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ruffell, LPN
• Laurie M Savory, 691797
• Jordan Smith, LPN
• Kayley Marie Soucy, RN
• Allison Marie Stepnowski
• Lisa Marie Titus, LPN
• Kimberly Valone, OT/L
• Eliza Weis, FNP-C

• All providers in Marion, NY
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.