Active NPI
Hayng Sung Yang, MD
- Psychiatry Physician
- Urbana, IL
National Provider Identifier
1215952684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036-052572
- Practice address
- 1400 W Park St
5TH Floor
Urbana, IL 61801 - Phone
- (217) 337-2130
- Fax
- (217) 337-2745
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036-052572 | IL | Primary |
Addresses
Primary practice location
1400 W Park St
5TH Floor
Urbana, IL 61801
Mailing address
9223 W St Francis Road
Frankfort, IL 60423
Phone (815) 806-3111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036052572 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-052572 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promise Healthcare NFP | Current | Accepting new patients | |
| Promise Healthcare NFP | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
819 Bloomington Rd
Champaign, IL 61820
Phone (217) 356-1558
821 S Neil St
Champaign, IL 61820
Phone (217) 356-1558
Interoperability endpoints
- hayng.yang.p11@direct.fhn-fqhc.nextgenshare.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Champaign, IL
- NPI 1578821005
-
- Federally Qualified Health Center (FQHC)
- Champaign, IL
- NPI 1801687728
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215952684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9223 W ST FRANCIS ROAD",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "60423",
"telephone_number": "815-806-3111",
"fax_number": "815-464-2621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W PARK ST",
"address_2": "5TH FLOOR",
"city": "URBANA",
"state": "IL",
"postal_code": "61801",
"telephone_number": "217-337-2130",
"fax_number": "217-337-2745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "HAYNG SUNG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036-052572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036052572",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.