Active NPI
J. Rafael Yanez, MD Nidia de Yanez, MD, PA
- Child & Adolescent Psychiatry Physician
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- Legal business name
- J. RAFAEL YANEZ, MD NIDIA DE YANEZ, MD, PA
- Practice address
- 2401 Pennsylvania Ave
Ste 110
Wilmington, DE 19806-1401 - Phone
- (302) 655-2991
- Fax
- (302) 655-1944
- NPI assigned
- Jan 16, 2007
- Last updated
- May 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nidia De Yanez, MD
- Title
- Chief of Child & Adolescent Psych
- Phone
- (302) 655-2991
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | Primary |
Addresses
Primary practice location
2401 Pennsylvania Ave
Ste 110
Wilmington, DE 19806-1401
Mailing address
2401 Pennsylvania Ave
Ste 110
Wilmington, DE 19806-1401
Phone (302) 655-2991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000014601 | Medicaid | DE |
National Provider Directory
National Provider DirectoryLocations
2401 Pennsylvania Ave
Ste 110
Wilmington, DE 19806
Phone (302) 655-2991
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Wilmington, DE
- NPI 1851371447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211414400000",
"number": "1285786947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 PENNSYLVANIA AVE",
"address_2": "STE 110",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198061401",
"telephone_number": "302-655-2991",
"fax_number": "302-655-1944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 PENNSYLVANIA AVE",
"address_2": "STE 110",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198061401",
"telephone_number": "302-655-2991",
"fax_number": "302-655-1944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J. RAFAEL YANEZ, MD NIDIA DE YANEZ, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2008-05-22",
"status": "A",
"authorized_official_last_name": "DE YANEZ",
"authorized_official_first_name": "NIDIA",
"authorized_official_title_or_position": "CHIEF OF CHILD & ADOLESCENT PSYCH",
"authorized_official_telephone_number": "302-655-2991",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000014601",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.