Organization Active NPI

J. Rafael Yanez, MD Nidia de Yanez, MD, PA

  • Child & Adolescent Psychiatry Physician
  • Wilmington, DE
National Provider Identifier
1285786947
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Nidia De Yanez, MDNPI 1851371447
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0000014601MedicaidDE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.