Active NPI
Maria Yakimchuk, MFTI
- Developmental Therapist
- Deerfield Beach, FL
National Provider Identifier
1336586239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 500 Fairway Dr
Ste. 102
Deerfield Beach, FL 33441-1814 - Phone
- (650) 218-9463
- NPI assigned
- May 31, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
500 Fairway Dr
Ste. 102
Deerfield Beach, FL 33441-1814
Mailing address
3901 N Course Dr
Charlotte, NC 28277-7629
Phone (650) 218-9463
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399334400000",
"number": "1336586239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 N COURSE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282777629",
"telephone_number": "650-218-9463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 FAIRWAY DR",
"address_2": "STE. 102",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334411814",
"telephone_number": "650-218-9463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAKIMCHUK",
"first_name": "MARIA",
"credential": "MFTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-31",
"last_updated": "2014-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.