Active NPI
Tina M Yost, ED.D.
- Psychologist
- Fairmont, WV
National Provider Identifier
1306984893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 806
- Practice address
- 2019 Pleasant Valley Road
Fairmont, WV 26554 - Phone
- (304) 366-4480
- NPI assigned
- Feb 5, 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 | 806 | WV | Primary |
Addresses
Primary practice location
2019 Pleasant Valley Road
Fairmont, WV 26554
Mailing address
2019 Pleasant Valley Road
Fairmont, WV 26554
Phone (304) 366-4480
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001713010 | Other | WV | BL CROSS BL SHIELD |
| 9205042000 | Medicaid | WV |
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 |
|---|---|---|---|
| 806 | WV | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1306984893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2019 PLEASANT VALLEY ROAD",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "26554",
"telephone_number": "304-366-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2019 PLEASANT VALLEY ROAD",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "26554",
"telephone_number": "304-366-4480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOST",
"first_name": "TINA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WV",
"license": "806",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BL CROSS BL SHIELD",
"identifier": "001713010",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9205042000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.