Active NPI
Marcy Kerr Yuknat, PSY.D.
- Clinical Psychologist
- Boston, MA
National Provider Identifier
1548593411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 9928
- Practice address
- 143 Newbury St FL 5
Boston, MA 02116-2925 - Phone
- (617) 396-4785
- NPI assigned
- Sep 10, 2009
- Last updated
- Jun 8, 2018
- Sex
- Female
- 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 | 9928 | MA | Primary |
Addresses
Primary practice location
143 Newbury St FL 5
Boston, MA 02116-2925
Mailing address
49 Hartford Steet
Dover, MA 02030
Phone (508) 785-3021
Other practice location 1
266 Beacon Street
4th Floor
Boston, MA 02116
Phone (617) 396-4785
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 |
|---|---|---|---|
| 9928 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528416000000",
"number": "1548593411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 HARTFORD STEET",
"city": "DOVER",
"state": "MA",
"postal_code": "02030",
"telephone_number": "508-785-3021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 NEWBURY ST FL 5",
"city": "BOSTON",
"state": "MA",
"postal_code": "021162925",
"telephone_number": "617-396-4785"
}
],
"practiceLocations": [
{
"address_1": "266 Beacon Street",
"address_2": "4th Floor",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "02116",
"country_code": "US",
"telephone_number": "617-396-4785",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YUKNAT",
"first_name": "MARCY",
"middle_name": "KERR",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-10",
"last_updated": "2018-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "9928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.