Charles Edward Yurkewicz, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

018127 Issued in NY

Practice address

393 Franklin Ave
Suite 101
Franklin Square, NY 11010-1222

Phone

(516) 750-4841

Fax

(516) 394-4767

NPI assigned

Jun 8, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heartshare Wellness LTDGroup PAC ID 8921992967, 11 clinicians

Young Adult Institute IncGroup PAC ID 1153216353, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.yurkewicz.p1@direct.premierhealthcare.nextgenshare.com
• Direct secure messaging: charles.yurkewicz@direct.heartshare.nextgenshare.com

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.

• Young Adult Institute, Inc.

  • Developmental Disabilities Clinic/Center
  • New York, NY
  • NPI 1144314576
  Medicare reassignment Care Compare group NPD
• Heartshare Wellness, LTD.

  • Public Health or Welfare Agency
  • Brooklyn, NY
  • NPI 1487895371
  Medicare reassignment Care Compare group
• MHH Psychology and Speech-Language Pathology Therapy Services PLLC

  • Contractor
  • New Hyde Park, NY
  • NPI 1871966515
  Medicare reassignment NPD
• Nysarc Inc

  • Voluntary or Charitable Agency
  • New York, NY
  • NPI 1457450124
  Medicare reassignment NPD
• Psychologist on Wheels PC

  • Psychologist
  • Franklin Square, NY
  • NPI 1447586318
  NPD (past)

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1346476033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 FRANKLIN AVE",
            "address_2": "SUITE 101",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110101222",
            "telephone_number": "516-750-4841",
            "fax_number": "516-394-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 FRANKLIN AVE",
            "address_2": "SUITE 101",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110101222",
            "telephone_number": "516-750-4841",
            "fax_number": "516-394-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURKEWICZ",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "018127",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "018127",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "018127",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NY",
            "license": "018127",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "018127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalawnna Wright
• Eric Yakubovich
• Angelique Danielle Yemma, LCAT, BC-DMT
• Dorotea Ninfa Yetman, M.S.
• Chae Lin Yoo
• Khadija Zahid
• Brandy Lynn Zaminer, PHARM D
• Elizabeth Rose Zeisler
• Ying Zhou
• Thomas Anthony Zummo, PHARM D.

• Psychologist in Franklin Square, NY
• Providers in Franklin Square, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.