Organization Active NPI

Yang TMS Center of the Main Line

  • Psychiatry Physician
  • Bryn Mawr, PA
National Provider Identifier
1235648650
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
YANG TMS CENTER OF THE MAIN LINE
Practice address
940 E Haverford Rd Ste 201B
Bryn Mawr, PA 19010-3845
Phone
(610) 520-1128
NPI assigned
Sep 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Authorized official

Name
Jingduan Yang, MDNPI 1356566905
Title
Sole Owner
Phone
(610) 520-1128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

940 E Haverford Rd Ste 201B
Bryn Mawr, PA 19010-3845

Mailing address

940 E Haverford Rd Ste 201B
Bryn Mawr, PA 19010-3845
Phone (610) 520-1128

Other practice location 1

1608 Walnut St Ste 1700B
Philadelphia, PA 19103-5410
Phone (610) 520-1128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180313002085 PA Part B Supplier - Clinic/Group Practice 4880956754 Receives reassigned benefits from 3 practitioners
Practice locations: Bryn Mawr, PA; Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

940 E Haverford Rd
Ste 201
Bryn Mawr, PA 19010
Phone (610) 520-1128

940 E Haverford Rd
Ste 201B
Bryn Mawr, PA 19010
Phone (610) 520-1128

1608 Walnut St
Ste 1700B
Philadelphia, PA 19103
Phone (610) 520-1128

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1235648650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E HAVERFORD RD STE 201B",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103845",
            "telephone_number": "610-520-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E HAVERFORD RD STE 201B",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103845",
            "telephone_number": "610-520-1128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 Walnut St Ste 1700B",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191035410",
            "country_code": "US",
            "telephone_number": "610-520-1128",
            "fax_number": "610-520-1331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YANG TMS CENTER OF THE MAIN LINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "JINGDUAN",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "610-520-1128",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.