Active NPI
Tamara Yaguda
- Developmental Therapist
- Forest Hills, NY
National Provider Identifier
1740923259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 1584359221
- Practice address
- 11835 Queens Blvd Ste 612
Forest Hills, NY 11375-7200 - Phone
- (347) 944-2359
- NPI assigned
- Apr 14, 2022
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 1584359221 | NY | Primary |
Addresses
Primary practice location
11835 Queens Blvd Ste 612
Forest Hills, NY 11375-7200
Mailing address
11835 Queens Blvd Ste 612
Forest Hills, NY 11375-7200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1584359221 | NY | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1740923259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11835 QUEENS BLVD STE 612",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11835 QUEENS BLVD STE 612",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757200",
"telephone_number": "347-944-2359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAGUDA",
"first_name": "TAMARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-14",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NY",
"license": "1584359221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.