Individual provider Active NPI

Leah Marie Ferris-Yankus, PH.D.

  • Psychologist
  • Marietta, GA
National Provider Identifier
1609017649
Registry record updated Mar 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2179 Issued in GA
Practice address
3901 Roswell Rd
Suite 210
Marietta, GA 30062-8809
Phone
(770) 509-8266
Fax
(770) 509-8966
NPI assigned
Mar 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2179 GA Primary

Addresses

Primary practice location

3901 Roswell Rd
Suite 210
Marietta, GA 30062-8809

Mailing address

1461 Shadowrock Dr
Marietta, GA 30062-3034
Phone (770) 509-8266

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2179GAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1237680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237680000000",
    "number": "1609017649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 SHADOWROCK DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623034",
            "telephone_number": "770-509-8266",
            "fax_number": "770-509-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 ROSWELL RD",
            "address_2": "SUITE 210",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628809",
            "telephone_number": "770-509-8266",
            "fax_number": "770-509-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIS-YANKUS",
        "first_name": "LEAH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-22",
        "last_updated": "2009-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "2179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.