Organization Active NPI

Sandra K Yarne, PH.D., PLLC

  • Clinical Psychologist
  • Portsmouth, NH
National Provider Identifier
1306209465
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
731 Issued in NH
Legal business name
SANDRA K YARNE, PH.D., PLLC
Practice address
20 Ladd St
Suite 406
Portsmouth, NH 03801-4087
Phone
(603) 436-2424
Fax
(603) 433-6341
NPI assigned
Apr 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Dr. Sandra Kathryn Yarne, PH. D.NPI 1942342415
Title
Psychologist/Owner
Phone
(603) 436-2424

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 731 NH Primary

Addresses

Primary practice location

20 Ladd St
Suite 406
Portsmouth, NH 03801-4087

Mailing address

20 Ladd St
Suite 406
Portsmouth, NH 03801-4087
Phone (603) 436-2424

Other identifiers 1

IdentifierTypeStateIssuer
1942342415OtherNHNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160419001306 NH Part B Supplier - Clinic/Group Practice 9931407335 Receives reassigned benefits from 1 practitioner
Practice locations: Portsmouth, NH

National Provider Directory

National Provider Directory

Locations

20 Ladd St
Ste 406
Portsmouth, NH 03801
Phone (603) 436-2424

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1306209465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LADD ST",
            "address_2": "SUITE 406",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014087",
            "telephone_number": "603-436-2424",
            "fax_number": "603-433-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LADD ST",
            "address_2": "SUITE 406",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014087",
            "telephone_number": "603-436-2424",
            "fax_number": "603-433-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA K YARNE, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "YARNE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "603-436-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1942342415",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.