Mary J. Yanics, PH.D., LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 985 Issued in KS

Legal business name

MARY J. YANICS, PH.D., LLC

Practice address

8340 Mission Rd
Suite 228
Prairie Village, KS 66206-1355

Phone

(913) 341-9444

Fax

(913) 341-9444

NPI assigned

Mar 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mary Jeanne Yanics, PH.D.NPI 1043313885

Title

Owner/Single Member

Phone

(913) 341-9444

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 1

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

• Mary J. Yanics, PH.D.

  • Clinical Psychologist
  • Overland Park, KS
  • NPI 1043313885
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1780959957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 MISSION RD",
            "address_2": "SUITE 228",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662061355",
            "telephone_number": "913-341-9444",
            "fax_number": "913-341-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 MISSION RD",
            "address_2": "SUITE 228",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662061355",
            "telephone_number": "913-341-9444",
            "fax_number": "913-341-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY J. YANICS, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "YANICS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "OWNER/SINGLE MEMBER",
        "authorized_official_telephone_number": "913-341-9444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "PSY 985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OF KANSAS CITY",
            "identifier": "27632034",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riley Elizabeth Martin, CF-SLP
• Gerald Lee Martincich, D.D.S.
• Nicholas Martinez, RBT
• Catherine Kilty Marx, RBT
• Mary J. Yanics, PH.D., LLC
• William Jerome Mass
• Elizabeth L Massman
• Jennifer L McAroy, D.D.S.
• Angela McCorkle, RPT
• Melissa Christine McCrary

• Clinical Psychologist in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.