Individual provider Active NPI

Yesie Yoon, M.D.

  • Child & Adolescent Psychiatry Physician
  • White Plains, NY
National Provider Identifier
1679863690
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
308024 Issued in NY
Practice address
21 Bloomingdale Rd
White Plains, NY 10605-1504
Phone
(888) 694-5700
NPI assigned
Apr 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 308024 NY Primary

Addresses

Primary practice location

21 Bloomingdale Rd
White Plains, NY 10605-1504

Mailing address

120 White Plains Rd Ste 420
Tarrytown, NY 10591-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160805001637 AL Practitioner - Psychiatry 0749574259 Reassigns benefits to 1 organization
I20220523001390 NY Practitioner - Psychiatry 0749574259 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
308024NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMS Medical of the Hudson Valley PC CurrentSince Dec 12, 2022 Accepting new patients
Weill Medical College of Cornell CurrentSince Aug 1, 2025 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Sep 1, 2016 Accepting new patients
Montefiore Medical Center CurrentSince Feb 11, 2022 Accepting new patients
Weill Medical College of Cornell CurrentSince Aug 1, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Feb 11, 2022 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100

111 E 210th St
Bronx, NY 10467

156 William St
New York, NY 10038
Phone (646) 962-4679

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

370 Violet Ave
Ste 204
Poughkeepsie, NY 12601
Phone (845) 394-2669

21 Bloomingdale Rd
White Plains, NY 10605
Phone (914) 682-9100

Organizations & group practices 6

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": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1679863690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WHITE PLAINS RD STE 420",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BLOOMINGDALE RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051504",
            "telephone_number": "888-694-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "YESIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "308024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.