Active NPI
Sandra Ann Yecker, PHD
- Psychologist
- Neffsville, PA
National Provider Identifier
1639302391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS016839
- Practice address
- 32 Echo Valley LN
Neffsville, PA 17601-3720 - Phone
- (347) 204-5931
- NPI assigned
- Aug 28, 2009
- Last updated
- Nov 9, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS016839 | PA | Primary |
| Clinical Psychologist | 103TC0700X | 017845-1 | NY |
Addresses
Primary practice location
32 Echo Valley LN
Neffsville, PA 17601-3720
Mailing address
32 Echo Valley LN
Neffsville, PA 17601-3720
Phone (347) 204-5931
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017845-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636416000000",
"number": "1639302391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 ECHO VALLEY LN",
"city": "NEFFSVILLE",
"state": "PA",
"postal_code": "176013720",
"telephone_number": "347-204-5931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 ECHO VALLEY LN",
"city": "NEFFSVILLE",
"state": "PA",
"postal_code": "176013720",
"telephone_number": "347-204-5931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YECKER",
"first_name": "SANDRA",
"middle_name": "ANN",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-28",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS016839",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "017845-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Neffsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.