Active NPI
Project Yes PLLC
- Psychologist
- Durham, NC
National Provider Identifier
1578167201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- PROJECT YES PLLC
- Practice address
- 1800 Martin Luther King Pkwy Ste 100
Durham, NC 27707-3500 - Phone
- (919) 355-5633
- NPI assigned
- Nov 23, 2020
- Last updated
- Nov 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tatyana Kholodkov, PH.D.
- Title
- Owner
- Phone
- (919) 355-5633
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| Cognitive & Behavioral Psychologist | 103TB0200X |
Addresses
Primary practice location
1800 Martin Luther King Pkwy Ste 100
Durham, NC 27707-3500
Mailing address
1521 N Duke St
Durham, NC 27701-1238
Phone (919) 355-5633
Other practice location 1
2303 Tampa Ave
Durham, NC 27705-3165
Phone (919) 355-5633
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- San Diego, CA
- NPI 1518130954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606089600000",
"number": "1578167201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 N DUKE ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277011238",
"telephone_number": "919-355-5633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 MARTIN LUTHER KING PKWY STE 100",
"city": "DURHAM",
"state": "NC",
"postal_code": "277073500",
"telephone_number": "919-355-5633"
}
],
"practiceLocations": [
{
"address_1": "2303 Tampa Ave",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277053165",
"country_code": "US",
"telephone_number": "919-355-5633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PROJECT YES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-23",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A",
"authorized_official_last_name": "KHOLODKOV",
"authorized_official_first_name": "TATYANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-355-5633",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.