Active NPI
Samantha Joy Chu Yazvac, PSY.D.
- Clinical Psychologist
- Northampton, MA
National Provider Identifier
1508410937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10996
- Practice address
- 50 Pleasant St
Northampton, MA 01060-4127 - Phone
- (862) 432-6932
- NPI assigned
- Jul 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 10996 | MA | Primary |
Addresses
Primary practice location
50 Pleasant St
Northampton, MA 01060-4127
Mailing address
4520 Stonegate Dr
Owensboro, KY 42303-9644
Phone (862) 432-6932
Other practice location 1
111 County Cir
Amherst, MA 01003-9255
Phone (413) 545-2337
Other practice location 2
75 Church St
Asheville, NC 28801-3623
Phone (828) 708-9955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10996 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Health Services Amherst | Past | Accepting new patients | |
| Asheville DBT & Trauma, PLLC | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Amherst, MA
- NPI 1487688677
-
- Community/Behavioral Health Agency
- Asheville, NC
- NPI 1871260620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1508410937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4520 STONEGATE DR",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423039644",
"telephone_number": "862-432-6932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 PLEASANT ST",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010604127",
"telephone_number": "862-432-6932"
}
],
"practiceLocations": [
{
"address_1": "111 County Cir",
"address_purpose": "LOCATION",
"city": "Amherst",
"state": "MA",
"postal_code": "010039255",
"country_code": "US",
"telephone_number": "413-545-2337",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "75 Church St",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288013623",
"country_code": "US",
"telephone_number": "828-708-9955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAZVAC",
"first_name": "SAMANTHA",
"middle_name": "JOY CHU",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-24",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.