Active NPI
Gary D Yaquinto, LIC PSYCHOLOGIST
- Clinical Psychologist
- Washington, PA
National Provider Identifier
1548300700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS-004640-L
- Practice address
- 272 Laddie Dr
Washington, PA 15301-1333 - Phone
- (724) 228-4986
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | PS-004640-L | PA | Primary |
Addresses
Primary practice location
272 Laddie Dr
Washington, PA 15301-1333
Mailing address
272 Laddie Dr
Washington, PA 15301-1333
Phone (724) 228-4986
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| YA517259 | Other | PA | HIGHMARK PROVIDER NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS-004640-L | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548300700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 LADDIE DR",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153011333",
"telephone_number": "724-228-4986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 LADDIE DR",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153011333",
"telephone_number": "724-228-4986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAQUINTO",
"first_name": "GARY",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "LIC PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS-004640-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK PROVIDER NUMBER",
"identifier": "YA517259",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.