Mary G Yancy, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

33382 Issued in TX

Practice address

3215 Steck Ave Ste 100
Austin, TX 78757-7584

Phone

(512) 452-2929

NPI assigned

May 13, 2009

Last updated

May 13, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Creekside Mental Health

  • Child & Adolescent Psychiatry Physician
  • Austin, TX
  • NPI 1093828485
  NPD (past)
• Senior Insights, PA

  • Psychologist
  • Austin, TX
  • NPI 1538309638
  NPD (past)

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1174757538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SKYLINE DR",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787463609",
            "telephone_number": "512-328-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 STECK AVE STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577584",
            "telephone_number": "512-452-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCY",
        "first_name": "MARY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "33382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Yamanuha Stewart, LPC
• Derek Yan
• Kiran M Yanala, DMD
• Lawrence A Yancey Jr., PHARMD
• Sara Yancovitz, DPM
• Ivona Yaneva, FNP-BC
• Gloria Yanez, D.D.S., MS
• Mayra Yanez, LMFT
• Tania Yanez
• Alice S Yang, MD

• Psychologist in Austin, TX
• Providers in Austin, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.