Active NPI
Andrea Johnson Yost, PSYD
- Psychologist
- Harrisburg, PA
National Provider Identifier
1306035274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS016714
- Practice address
- 5405 Jonestown Rd Ste 103
Harrisburg, PA 17112-4021 - Phone
- (301) 706-7048
- NPI assigned
- Oct 17, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS016714 | PA | Primary |
Addresses
Primary practice location
5405 Jonestown Rd Ste 103
Harrisburg, PA 17112-4021
Mailing address
2848 Church Rd
Elizabethtown, PA 17022-9055
Phone (301) 706-7048
Other names 1
- Dr. Andrea Johnson
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS016714 | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfax County, Virginia | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fairfax, VA
- NPI 1154356244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292457600000",
"number": "1306035274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2848 CHURCH RD",
"city": "ELIZABETHTOWN",
"state": "PA",
"postal_code": "170229055",
"telephone_number": "301-706-7048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5405 JONESTOWN RD STE 103",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171124021",
"telephone_number": "301-706-7048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOST",
"first_name": "ANDREA",
"middle_name": "JOHNSON",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-17",
"last_updated": "2010-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS016714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "JOHNSON",
"prefix": "DR.",
"credential": "PSYD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.