Audra Yacka, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00422100 Issued in NJ

Practice address

17 Senior St
New Brunswick, NJ 08901-8534

Phone

(732) 932-7884

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Rutgers, That State University of New Jersey

  • Psychiatry Physician
  • New Brunswick, NJ
  • NPI 1679880983
  NPD (past)
• Aa Psychology PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1932975919

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1427136704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SENIOR ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089018534",
            "telephone_number": "732-932-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SENIOR ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089018534",
            "telephone_number": "732-932-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACKA",
        "first_name": "AUDRA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00422100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayland Jay Wu, M.D.
• Katelyn Wyman, DO
• Therese M. Wyman, R.D., C.D.E.
• Jiabao Xie, MD
• Weizhen Xu, M.D.
• Lauren M Yackowski, MS, CGC
• Bishoy Yacoub
• Sirisha Yalamanchi, M.D.
• Rei Yamada, MD
• Ann Fan Yang, MD

• Psychologist in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.