Individual provider Active NPI

Sofia S Yahya, M.D.

  • Psychiatry Physician
  • Ormond Beach, FL
National Provider Identifier
1770540551
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME95782 Issued in FL
Practice address
325 Clyde Morris Blvd Ste 390
Ormond Beach, FL 32174-8179
Phone
(386) 676-6335
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME95782 FL Primary

Addresses

Primary practice location

325 Clyde Morris Blvd Ste 390
Ormond Beach, FL 32174-8179

Mailing address

325 Clyde Morris Blvd Ste 390
Ormond Beach, FL 32174-8179
Phone (386) 676-6335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110419000630 FL Practitioner - Psychiatry 1052596970 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurologic Consultants LLCGroup PAC ID 2860870169, 4 clinicians

Practice addresses (Care Compare)

325 Clyde Morris Blvd
Suite 390
Ormond Beach, FL 32174-8179
Phone (386) 676-6335

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME95782FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Associates of Ormond Beach PA CurrentSince Mar 28, 2019 Accepting new patients
Neurology Associates of Ormond Beach Current Accepting new patients
Neurologic Consultants LLC Psychiatry CurrentSince Jun 2, 2022 Accepting new patients

Locations

8 Mirror Lake Dr
Ste A
Ormond Beach, FL 32174
Phone (386) 673-2500

325 Clyde Morris Blvd
Ste 390
Ormond Beach, FL 32174
Phone (386) 425-4450

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGHCCA

Organizations & group practices 3

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1770540551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD STE 390",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748179",
            "telephone_number": "386-676-6335",
            "fax_number": "386-256-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD STE 390",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748179",
            "telephone_number": "386-676-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAHYA",
        "first_name": "SOFIA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME95782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.