Individual provider Active NPI

Mary Ann Katherine Yenason, PHD

  • Psychologist
  • Kingston, PA
National Provider Identifier
1386638559
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS006050L Issued in PA
Practice address
311 Market St
Kingston, PA 18704-5428
Phone
(570) 718-1988
NPI assigned
Sep 2, 2005
Last updated
May 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS006050L PA Primary

Addresses

Primary practice location

311 Market St
Kingston, PA 18704-5428

Mailing address

311 Market St
Suite B
Kingston, PA 18704-5428
Phone (570) 718-1988

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20040405000154 PA Practitioner - Clinical Psychologist 9537152822 Practice locations: Kingston, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

311 Market St
Kingston, PA 18704-5428
Phone (570) 718-1988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS006050LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Behavioral Health PA LLC Past Accepting new patients
Mary Ann Yenason PH D Psychologist PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1386638559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 MARKET ST",
            "address_2": "SUITE B",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045428",
            "telephone_number": "570-718-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MARKET ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045428",
            "telephone_number": "570-718-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENASON",
        "first_name": "MARY ANN",
        "middle_name": "KATHERINE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006050L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.