Yvonne Makidon PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

YVONNE MAKIDON PLLC

Practice address

8240 Embury Rd Ste a
Grand Blanc, MI 48439-7113

Phone

(810) 659-7242

NPI assigned

Mar 18, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Yvonne Pearl Makidon, PH.D., LMSW, LMFTNPI 1720204183

Title

Owner/Therapist

Phone

(810) 659-7242

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yvonne P Makidon, LMSW, LMFT, CAADC

  • Mental Health Counselor
  • Grand Blanc, MI
  • NPI 1720204183
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1770042921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3176 PERRY CT",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398151",
            "telephone_number": "810-659-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 EMBURY RD STE A",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397113",
            "telephone_number": "810-659-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVONNE MAKIDON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "MAKIDON",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "PEARL",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "810-659-7242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LMSW, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "yomakidon@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8240 Embury Rd Ste A",
            "city": "Grand Blanc",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484397113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alyssa Young
• Isaac Young
• Kevin Youngs, M.D.
• Stephanie Youngs, OT
• Michael Nithiphaisal Yu, DO
• Georgia Zachopoulos, D.O.
• Mahrukh Zafar, MD
• Kyce Zaiter
• Dalia Zakri, M.D.
• Matthew Chase Zaremba, DO

• Adult Mental Health Clinic/Center in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.