Individual provider Active NPI

Genevieve Yuen, MD, PHD

  • Geriatric Psychiatry Physician
  • New York, NY
National Provider Identifier
1679730030
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
253949 Issued in NY
Practice address
841 Broadway
Suite 302, #7
New York, NY 10003-4704
Phone
(646) 232-3464
Fax
(877) 681-0717
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 253949 NY Primary
Psychiatry Physician 2084P0800X 253949 NY

Addresses

Primary practice location

841 Broadway
Suite 302, #7
New York, NY 10003-4704

Mailing address

17 E 96TH St
Apt 14D
New York, NY 10128-0783
Phone (646) 232-3464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 10, 2015 through Mar 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
253949NYMDGeriatric Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1679730030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 E 96TH ST",
            "address_2": "APT 14D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280783",
            "telephone_number": "646-232-3464",
            "fax_number": "877-681-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 BROADWAY",
            "address_2": "SUITE 302, #7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034704",
            "telephone_number": "646-232-3464",
            "fax_number": "877-681-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUEN",
        "first_name": "GENEVIEVE",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "253949",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "253949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.