Individual provider Active NPI

David Michael Yee, PSY.D.

  • Psychologist
  • Glendale, AZ
National Provider Identifier
1396173696
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
17505 N 79TH Ave Ste 213
Glendale, AZ 85308-8728
Phone
(623) 670-2927
NPI assigned
Oct 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X AZ Primary

Addresses

Primary practice location

17505 N 79TH Ave Ste 213
Glendale, AZ 85308-8728

Mailing address

17505 N 79TH Ave Ste 213
Glendale, AZ 85308-8728
Phone (623) 670-2927

Other practice location 1

17505 N 79th Ave Ste 410
Glendale, AZ 85308-8732
Phone (623) 670-2927

Other practice location 2

17505 N 79th Ave Ste 410
Glendale, AZ 85308-8732
Phone (623) 670-2927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210426000472 AZ Practitioner - Clinical Psychologist 7719395029 Practice locations: Glendale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17505 N 79TH Ave
Suite 213
Glendale, AZ 85308-8728
Phone (623) 670-2927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Surge Points LLC PastSince Dec 29, 2016 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1396173696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 213",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088728",
            "telephone_number": "623-670-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 213",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088728",
            "telephone_number": "623-670-2927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17505 N 79th Ave Ste 410",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853088732",
            "country_code": "US",
            "telephone_number": "623-670-2927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17505 N 79th Ave Ste 410",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853088732",
            "country_code": "US",
            "telephone_number": "623-670-2927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEE",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-23",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.