Active NPI
Yolanda G. Kraynick, PHD
- Clinical Psychologist
- Dallas, TX
National Provider Identifier
1245215615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3-1423
- Practice address
- 3320 Live Oak St
East Dallas Health Center
Dallas, TX 75204-6109 - Phone
- (214) 266-1000
- NPI assigned
- Dec 8, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3-1423 | TX | Primary |
Addresses
Primary practice location
3320 Live Oak St
East Dallas Health Center
Dallas, TX 75204-6109
Mailing address
PO Box 660599
Dallas, TX 75266-0599
Phone (214) 590-1405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3-1423 | TX | MD | Clinical Psychologist |
| 31423 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245215615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660599",
"city": "DALLAS",
"state": "TX",
"postal_code": "752660599",
"telephone_number": "214-590-1405",
"fax_number": "214-590-4162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 LIVE OAK ST",
"address_2": "EAST DALLAS HEALTH CENTER",
"city": "DALLAS",
"state": "TX",
"postal_code": "752046109",
"telephone_number": "214-266-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAYNICK",
"first_name": "YOLANDA",
"middle_name": "G.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "3-1423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.