Individual provider Active NPI

Shanda H Yoon

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1447539978
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402162 Issued in NY
Practice address
397 Bridge St FL 7
Brooklyn, NY 11201-5247
Phone
(646) 504-5840
Fax
(646) 504-5840
NPI assigned
Aug 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMF74013 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402162 NY Primary

Addresses

Primary practice location

397 Bridge St FL 7
Brooklyn, NY 11201-5247

Mailing address

1407 S Michigan Ave Apt 1513
Chicago, IL 60605-2833
Phone (562) 305-3955

Other practice location 1

110 Lafayette St Fl 5
New York, NY 10013-4116
Phone (212) 369-6757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF74013CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Soho Medical Doctors, PLLC PastSince Dec 6, 2020 Accepting new patients
Neuropsychiatric Services, PC PastSince Mar 7, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sohomd.shandayoon@157389.advancedmd-direct.com

Organizations & group practices 2

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": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1447539978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 S MICHIGAN AVE APT 1513",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052833",
            "telephone_number": "562-305-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 BRIDGE ST FL 7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015247",
            "telephone_number": "646-504-5840",
            "fax_number": "646-504-5840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Lafayette St Fl 5",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100134116",
            "country_code": "US",
            "telephone_number": "212-369-6757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOON",
        "first_name": "SHANDA",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF74013",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.