Individual provider Active NPI

Ronald S Yearwood, MD

  • Psychiatry Physician
  • Lyons, NY
National Provider Identifier
1457374423
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
278086 Issued in NY
Practice address
1519 Nye Rd Ste 110
Lyons, NY 14489-9112
Phone
(315) 946-5722
Fax
(315) 946-7068
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 278086 NY Primary

Addresses

Primary practice location

1519 Nye Rd Ste 110
Lyons, NY 14489-9112

Mailing address

1519 Nye Rd Ste 110
Lyons, NY 14489-9112
Phone (315) 946-5722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160415000169 NY Practitioner - Psychiatry 8325346935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of WayneGroup PAC ID 8921919994, 21 clinicians
Seneca County TreasurerGroup PAC ID 7416840301, 16 clinicians

Practice addresses (Care Compare)

1519 Nye Rd
Suite 100
Lyons, NY 14489-9112
Phone (315) 946-5722

31 Thurber Dr
Waterloo, NY 13165-1665
Phone (315) 539-1980

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
County of Wayne CurrentSince Mar 7, 2016 Accepting new patients
Seneca County Treasurer CurrentSince Mar 4, 2021 Accepting new patients
Seneca County Addictions Program CurrentSince Mar 4, 2021 Accepting new patients

Locations

1519 Nye Rd
Ste 110
Lyons, NY 14489
Phone (315) 946-5722

1519 Nye Rd
Ste 100
Lyons, NY 14489
Phone (315) 946-5722

31 Thurber Dr
Waterloo, NY 13165
Phone (315) 539-1980

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1457374423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 NYE RD STE 110",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "144899112",
            "telephone_number": "315-946-5722",
            "fax_number": "315-946-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 NYE RD STE 110",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "144899112",
            "telephone_number": "315-946-5722",
            "fax_number": "315-946-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEARWOOD",
        "first_name": "RONALD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "278086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyons, NY

Sources for this page

Verify at the official NPI Registry.