Active NPI
Yichao Zhang
- Psychiatric/Mental Health Nurse Practitioner
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 403009
- Practice address
- 750 E Adams St
Syracuse, NY 13210-2306 - Phone
- (315) 464-3278
- Fax
- (315) 464-9101
- NPI assigned
- Jun 18, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 403009 | NY | Primary |
Addresses
Primary practice location
750 E Adams St
Syracuse, NY 13210-2306
Mailing address
6025 Singletree LN
Jamesville, NY 13078-9514
Phone (315) 800-2688
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
719 Harrison St
Syracuse, NY 13210-2695
Phone (315) 464-3265
7513 Court St
Elizabethtown, NY 12932-0008
Phone (518) 873-3670
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.28 of 100
- Quality
- 88.2
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 403009 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatry Faculty Practice, Inc. | Current | Accepting new patients | |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Essex County Treasurer | Current | Accepting new patients | |
| Essex County Treasurer | Current | Accepting new patients | |
| NPI 1467448274 | Past | Accepting new patients |
Locations
165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964
719 Harrison St
Syracuse, NY 13210
Phone (315) 464-3265
713 Harrison St
Bldg 3
Syracuse, NY 13210
Phone (315) 464-3265
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
Interoperability endpoints
- yzhang51429@direct.upstate.edu
Organizations & group practices 4
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.
-
- Mental Health Counselor
- Elizabethtown, NY
- NPI 1659485480
-
- Psychiatry Physician
- Syracuse, NY
- NPI 1881084820
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
NY, Psychiatric/Mental Health
-
- Ambulance
- Lewis, NY
- NPI 1215552948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669939200000",
"number": "1508482282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6025 SINGLETREE LN",
"city": "JAMESVILLE",
"state": "NY",
"postal_code": "130789514",
"telephone_number": "315-800-2688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E ADAMS ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102306",
"telephone_number": "315-464-3278",
"fax_number": "315-464-9101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHANG",
"first_name": "YICHAO",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-18",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "403009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.