Yacob T Tekie

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PS019073 Issued in PA

Practice address

3637 Chestnut St
Philadelphia, PA 19104-2612

Phone

(224) 636-2303

NPI assigned

Aug 24, 2020

Sex

Male

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

State licenses

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1205449873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 MARKET ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042614",
            "telephone_number": "224-636-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 CHESTNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042612",
            "telephone_number": "224-636-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKIE",
        "first_name": "YACOB",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS019073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Teixeira, M.D.
• Jonitza D Teixeira
• Kurniawan Teja, MSN, CRNP, FNP-BC
• Fernando Tejeda-Castro, DO
• Alexander Oscar Tejeda, MD
• Selamawit Teklu, PHARM D
• Sruti Tekumalla
• Alexandra Telech, PA-C
• Alana Erica Telesford
• Teller Chiropractic

• Counseling Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Counseling Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.