Kelly Yanek, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00785300 Issued in NJ

Practice address

545 Beckett Rd Ste 207
Swedesboro, NJ 08085-1512

Phone

(856) 467-1000

Fax

(856) 467-1150

NPI assigned

Mar 1, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pennsville Counseling Associates, L.L.C.

  • Psychologist
  • Swedesboro, NJ
  • NPI 1376756577

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763164800000",
    "number": "1760249221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HICKORY CT",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629527",
            "telephone_number": "201-317-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 BECKETT RD STE 207",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080851512",
            "telephone_number": "856-467-1000",
            "fax_number": "856-467-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANEK",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2025-11-15",
        "certification_date": "2025-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00785300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kesha Abena Wilford, M.D.
• Amelle D Williams, MD
• Brooke Amber Wilson, LSW
• Woolwich Gardens Assisted Living LLC
• Zackery Wroniuk-Evans, DPT
• Alisha Rahin Zaman
• Alaina Zimmer
• Brittany Lynn Zingo, NP-C

• Clinical Psychologist in Swedesboro, NJ
• Providers in Swedesboro, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.