Mary J. Yanics, PH.D., LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 985 Issued in KS

Legal business name

MARY J. YANICS, PH.D., LLC

Practice address

8340 Mission Road
Suite 228
Prairie Village, KS 66206-1355

Phone

(913) 341-9444

Fax

(913) 341-9444

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mary J. Yanics, PH.D.NPI 1043313885

Title

Sole and Managing Member

Phone

(913) 341-9444

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mary J. Yanics, PH.D.

  • Clinical Psychologist
  • Overland Park, KS
  • NPI 1043313885
  NPD Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295829844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 MISSION ROAD",
            "address_2": "SUITE 228",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662061355",
            "telephone_number": "913-341-9444",
            "fax_number": "913-341-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 MISSION ROAD",
            "address_2": "SUITE 228",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662061355",
            "telephone_number": "913-341-9444",
            "fax_number": "913-341-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY J. YANICS, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YANICS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SOLE AND MANAGING MEMBER",
        "authorized_official_telephone_number": "913-341-9444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "PSY 985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy K. Martin, M.D.
• Riley Elizabeth Martin, CF-SLP
• Gerald Lee Martincich, D.D.S.
• Nicholas Martinez, RBT
• Catherine Kilty Marx, RBT
• Mary J. Yanics, PH.D., LLC
• William Jerome Mass
• Elizabeth L Massman
• Jennifer L McAroy, D.D.S.
• Angela McCorkle, RPT

• Clinical Psychologist in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.