Jared Au Yeung, MD
Individual provider Active NPI Psychiatry Physician · Providence, RI
NPI 1376103200 · NPPES record last updated May 12, 2023
Key facts
- NPI
- 1376103200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- MD18547 (RI)
- Practice address
- 593 Eddy Street
Potter 1
Providence, RI 02903-4923 - Phone
- (401) 444-2315
- Fax
- (401) 444-8836
- NPI assigned
- Jun 13, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Drexel University College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lifespan Physician Group Inc
Practice addresses (Care Compare)
593 Eddy St
Providence, RI 02903-4923
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230620001523 | RI | Practitioner - Psychiatry | 5193052983 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD18547 | RI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Current |
Accepting new patients | |
| Lifespan Physician Group, Inc. | Psychiatry | Current |
Accepting new patients |
| Rhode Island Hospital | Past | Accepting new patients |
Locations
345 Blackstone Blvd
Providence, RI 02906
Phone (401) 455-6375
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
593 Eddy St
Providence, RI 02903
593 Eddy St
#1
Providence, RI 02903
Phone (401) 444-2315
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD18547 | RI | Yes |
Addresses
Primary practice location
593 Eddy Street
Potter 1
Providence, RI 02903-4923
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Other practice location 1
345 Blackstone blvd
Psychiatry training program, Duncan bldg
Providence, RI 02906
Phone (401) 455-6375
Other providers in Providence, RI
- Sri Sai Swetha Atluri
- Jennifer Attalla
- Jessica R Attar
- Naureen Attiullah
- Eilean L. Attwood
- Claude Michelle Aubourg
- Susan Aubut
- Russell Auclair
- Brett C Auclaire
- Myah Audette
All providers in Providence, RI · Psychiatry Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.