Yun Garrison PLLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

YUN GARRISON PLLC

Practice address

62 Portland Rd Ste 25a
Kennebunk, ME 04043-6650

Phone

(319) 471-5488

NPI assigned

Sep 7, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Yunkyoung L Garrison, PH.D.NPI 1508537671

Title

Owner/Solo-Member

Phone

(207) 494-3789

Specialties & licenses 5

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yunkyoung Garrison

  • Counseling Psychologist
  • Brunswick, ME
  • NPI 1508537671

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1725667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726876800000",
    "number": "1477388437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1081",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042111081",
            "telephone_number": "207-494-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 PORTLAND RD STE 25A",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436650",
            "telephone_number": "319-471-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUN GARRISON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-07",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "YUNKYOUNG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/SOLO-MEMBER",
        "authorized_official_telephone_number": "207-494-3789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; 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.