Individual provider Active NPI

Joanne S. Yurman, PH.D.

  • Clinical Psychologist
  • Stockbridge, MA
National Provider Identifier
1548374457
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6251 Issued in MA
Practice address
31 Main Street
Stockbridge, MA 01262-0682
Phone
(413) 298-7146
Fax
(413) 232-4647
NPI assigned
Aug 18, 2006
Last updated
Oct 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6251 MA Primary
Clinical Psychologist 103TC0700X 010115-1 NY

Addresses

Primary practice location

31 Main Street
Stockbridge, MA 01262-0682

Mailing address

PO Box 682
31 Main Street
Stockbridge, MA 01262-0682
Phone (413) 298-7146

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010115NYMDMental Health Counselor
6251MAMDClinical Psychologist
010115-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Retirement Community Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1548374457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 682",
            "address_2": "31 MAIN STREET",
            "city": "STOCKBRIDGE",
            "state": "MA",
            "postal_code": "012620682",
            "telephone_number": "413-298-7146",
            "fax_number": "413-232-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MAIN STREET",
            "city": "STOCKBRIDGE",
            "state": "MA",
            "postal_code": "012620682",
            "telephone_number": "413-298-7146",
            "fax_number": "413-232-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURMAN",
        "first_name": "JOANNE",
        "middle_name": "S.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "6251",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010115-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, MA

Sources for this page

Verify at the official NPI Registry.