Active NPI
Cori Yaeger, PHD
- Clinical Psychologist
- Cincinnati, OH
National Provider Identifier
1386888063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5828
- Practice address
- 6557 Rainbow LN
Cincinnati, OH 45230-1464 - Phone
- (513) 232-2139
- Fax
- (503) 232-0771
- NPI assigned
- Apr 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5828 | OH | Primary |
Addresses
Primary practice location
6557 Rainbow LN
Cincinnati, OH 45230-1464
Mailing address
6557 Rainbow LN
Cincinnati, OH 45230-1464
Phone (513) 232-2139
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5828 | Other | OH | STATE LICENSE - PSYCHOLOGY |
| 11913841 | Other | CAQH |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5828 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240790400000",
"number": "1386888063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6557 RAINBOW LN",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452301464",
"telephone_number": "513-232-2139",
"fax_number": "503-232-0771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6557 RAINBOW LN",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452301464",
"telephone_number": "513-232-2139",
"fax_number": "503-232-0771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAEGER",
"first_name": "CORI",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-27",
"last_updated": "2009-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "5828",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE - PSYCHOLOGY",
"identifier": "5828",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11913841",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.