Yanee's Place

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

YANEE'S PLACE

Practice address

738 Main St
Waltham, MA 02451-0616

Phone

(617) 319-8432

NPI assigned

Mar 17, 2014

Last updated

Mar 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiyana Portis

Title

Ceo

Phone

(508) 740-8091

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1407272339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 BLUE HILLS PKWY",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021861123",
            "telephone_number": "508-740-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024510616",
            "telephone_number": "617-319-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANEE'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "PORTIS",
        "authorized_official_first_name": "TIYANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-740-8091"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Hartmann Wuerz, MD
• Charles-John Wynters, ATC
• Kai Wen Xing II
• Xiaoyenan Xu
• Kimberly A Yablonsky, OTR/L
• Eun Jeong Yang, M.A.
• Haeun Yang
• Megan Kathryn Yang, MA
• Min Yang, M.ED.
• Sophia Yang, MD

• Early Intervention Provider Agency in Waltham, MA
• Providers in Waltham, MA by specialty
• Early Intervention Provider Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.