John David Andrew Yeaw, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY.0005694 Issued in CO

Practice address

2020 N Academy Blvd Ste 276
Colorado Springs, CO 80909-1567

Phone

(719) 425-9673

NPI assigned

Jan 26, 2007

Reactivated

Jun 11, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jda Yeaw Psychological Services, PC

  • Clinical Psychologist
  • Colorado Springs, CO
  • NPI 1619772571
  Medicare reassignment NPD Authorized official
• Rxmedlife Inc

  • Durable Medical Equipment & Medical Supplies
  • Colorado Springs, CO
  • NPI 1437741923
  NPD

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1396891149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N ACADEMY BLVD STE 276",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091567",
            "telephone_number": "719-725-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N ACADEMY BLVD STE 276",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091567",
            "telephone_number": "719-425-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAW",
        "first_name": "JOHN",
        "middle_name": "DAVID ANDREW",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "deactivation_date": "2025-04-23",
        "reactivation_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0005694",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32430",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aziz John Yazdi, MD
• Janessa Ybarra
• Carolyn Marie Yeager, PHD
• Joy M. Yeakley, LCSW
• Austin Yeater, BCBA
• Stanley Yee, PA-C
• Arash Yekrangi-Tajvidi, D.O.
• Tolyia Yelverton
• Michael J Yergler, LPC
• Danping Yi, DDS

• Clinical Psychologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.