Individual provider Active NPI

David Victor Yohay, PH.D.

  • Psychologist
  • Brooklyn, NY
National Provider Identifier
1164594131
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
007475-1 Issued in NY
Practice address
1695 E 21St St
Suite A2
Brooklyn, NY 11210-5052
Phone
(718) 253-5131
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 007475-1 NY Primary

Addresses

Primary practice location

1695 E 21St St
Suite A2
Brooklyn, NY 11210-5052

Mailing address

1695 E 21St St
Suite A2
Brooklyn, NY 11210-5052
Phone (718) 253-5131

Other identifiers 5

IdentifierTypeStateIssuer
01928954MedicaidNY
11238293OtherNYCAQH
0068025OtherNYG.H.I.
P2962799OtherNYOXFORD
SO7475-7BOtherNYWORKERS' COMPENSATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120111000477 NY Practitioner - Clinical Psychologist 7517134737 Practice locations: Brooklyn, NY; East Hampton, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

466 - 3Rd St
Apt. 4L
Brooklyn, NY 11215-2963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
007475-1NYMDPsychologist
007475NYMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164594131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 E 21ST ST",
            "address_2": "SUITE A2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105052",
            "telephone_number": "718-253-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 E 21ST ST",
            "address_2": "SUITE A2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105052",
            "telephone_number": "718-253-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOHAY",
        "first_name": "DAVID",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "007475-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01928954",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11238293",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G.H.I.",
            "identifier": "0068025",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2962799",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS' COMPENSATION",
            "identifier": "SO7475-7B",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.