Active NPI
Yao Ma
- Intellectual & Developmental Disabilities Psychologist
- Northbrook, IL
National Provider Identifier
1629293907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual & Developmental Disabilities Psychologist
- License
- 1062730
- Practice address
- 3504 Commercial Ave
Northbrook, IL 60062-1821 - Phone
- (847) 272-5111
- Fax
- (847) 272-7350
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 1062730 | Primary |
Addresses
Primary practice location
3504 Commercial Ave
Northbrook, IL 60062-1821
Mailing address
1425 S Wolf Rd
Apt-145
Prospect Heights, IL 60070-1798
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629293907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 S WOLF RD",
"address_2": "APT-145",
"city": "PROSPECT HEIGHTS",
"state": "IL",
"postal_code": "600701798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3504 COMMERCIAL AVE",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621821",
"telephone_number": "847-272-5111",
"fax_number": "847-272-7350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MA",
"first_name": "YAO",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": "1062730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northbrook, IL
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.