Sarah Yassin, PSYCH D

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY-005225 Issued in AZ

Practice address

6677 W Thunderbird Rd Ste D148
Glendale, AZ 85306-3769

Phone

(602) 843-3811

Fax

(602) 843-0044

NPI assigned

Sep 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Arizona Neuropsychological Services, PLLC

  • Clinical Neuropsychologist
  • Chandler, AZ
  • NPI 1639494883
  Medicare reassignment NPD
• Az Integrated Neuro Spine & Pain LLC

  • Neurology Physician
  • Sun City, AZ
  • NPI 1487155354
  Medicare reassignment

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1194330266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD STE D148",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063769",
            "telephone_number": "602-843-3811",
            "fax_number": "602-843-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD STE D148",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063769",
            "telephone_number": "602-843-3811",
            "fax_number": "602-843-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASSIN",
        "first_name": "SARAH",
        "credential": "PSYCH D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "PSY-005225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PSY-005225",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ahrum Yang, RPH
• Michael John Yanish, M.D.
• Meridith Amber Yannace
• Chelsey Yarbrough
• Sabrina Yaro
• Jerusha Yates
• Keanna Yates
• Kirstin Yates
• Samantha Yeager, RBT
• Craig Dennis Yee, RPH

• Clinical Neuropsychologist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Clinical Neuropsychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.

Verify at the official NPI Registry.