Active NPI
Christine Zerka Yoo, PSY.D.
- Clinical Psychologist
- Evanston, IL
National Provider Identifier
1750692679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071008326
- Practice address
- 636 Church St
Suite 510
Evanston, IL 60201 - Phone
- (847) 563-4414
- NPI assigned
- Jun 24, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071008326 | IL | Primary |
Addresses
Primary practice location
636 Church St
Suite 510
Evanston, IL 60201
Mailing address
708 Church St Ste 206
Evanston, IL 60201-3881
Phone (847) 563-4414
Other practice location 1
636 Church St
Suite 510
Evanston, IL 60201-4508
Phone (847) 563-4414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 9, 2016 through Jan 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527811200000",
"number": "1750692679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 CHURCH ST STE 206",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602013881",
"telephone_number": "847-563-4414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 CHURCH ST",
"address_2": "SUITE 510",
"city": "EVANSTON",
"state": "IL",
"postal_code": "60201",
"telephone_number": "847-563-4414"
}
],
"practiceLocations": [
{
"address_1": "636 Church St",
"address_2": "Suite 510",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602014508",
"country_code": "US",
"telephone_number": "847-563-4414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZERKA YOO",
"first_name": "CHRISTINE",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-24",
"last_updated": "2018-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071008326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.