Active NPI
Shanda H Yoon
- Psychiatric/Mental Health Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1447539978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 402162
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF74013 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soho Medical Doctors, PLLC | Past | Accepting new patients | |
| Neuropsychiatric Services, PC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Psychiatry Physician
- New York, NY
- NPI 1508451121
-
- Psychiatry Physician
- New York, NY
- NPI 1497184568
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.