Individual provider Active NPI

Steven Raymond Yale, M.D.

  • Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1669577920
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME79853 Issued in FL
Practice address
17407 Bridge Hill CT Ste a
Tampa, FL 33647-3522
Phone
(813) 971-1800
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME79853 FL Primary

Addresses

Primary practice location

17407 Bridge Hill CT Ste a
Tampa, FL 33647-3522

Mailing address

4806 Londonderry Dr
Tampa, FL 33647-1332
Phone (813) 631-8452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040417000066 FL Practitioner - Psychiatry 3274528484 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME79853FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marina Waisman MD Steven Yale MD PA Psychiatry CurrentSince Oct 15, 2014 Accepting new patients

Locations

17407 Bridge Hill Ct
Ste A
Tampa, FL 33647
Phone (813) 971-1800

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1669577920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4806 LONDONDERRY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471332",
            "telephone_number": "813-631-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17407 BRIDGE HILL CT STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473522",
            "telephone_number": "813-971-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALE",
        "first_name": "STEVEN",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME79853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.