Ilya Jaime Yacevich, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

1269 Beacon St
The Trauma Center
Brookline, MA 02446-5248

Phone

(617) 232-1303

NPI assigned

Nov 12, 2007

Last updated

Nov 12, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1427238062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1269 BEACON ST",
            "address_2": "THE TRAUMA CENTER",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465248",
            "telephone_number": "617-232-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 BEACON ST",
            "address_2": "THE TRAUMA CENTER",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465248",
            "telephone_number": "617-232-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACEVICH",
        "first_name": "ILYA",
        "middle_name": "JAIME",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xinhai Yang, DMD (Quality Dental Care)
• Ziyi Xiu
• Xrhealth USA Inc
• Min Xu, M.D.
• Shengmei Xu, M. ED
• Pramila Rajni Yadav, M.D.
• Yael Frydman DMD PC
• Howard David Yaffe
• Renana Yanai-Anter, LICSW
• Liang Yang

• Marriage & Family Therapist in Brookline, MA
• Providers in Brookline, MA by specialty
• Marriage & Family Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.