Organization Active NPI

Yorlan Psychological Associates, LLC

  • Clinical Psychologist
  • York, PA
National Provider Identifier
1790050185
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017112 Issued in PA
Legal business name
YORLAN PSYCHOLOGICAL ASSOCIATES, LLC
Practice address
3601 Concord Rd
York, PA 17402-8741
Phone
(717) 885-0503
Fax
(717) 650-1281
NPI assigned
Mar 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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

Authorized official

Name
Dr. Sabra N Abboud, PSY.D.
Title
Owner
Phone
(717) 885-0503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X PS017112 PA Primary

Addresses

Primary practice location

3601 Concord Rd
York, PA 17402-8741

Mailing address

3601 Concord Rd
York, PA 17402-8741
Phone (717) 885-0503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120827000719 PA Part B Supplier - Clinic/Group Practice 5193972107 Receives reassigned benefits from 2 practitioners
Practice locations: York, PA

National Provider Directory

National Provider Directory

Locations

2550 Kingston Rd
Ste 204
York, PA 17402
Phone (717) 885-0503

3601 Concord Rd
York, PA 17402
Phone (717) 821-4438

3601 Concord Rd
Ste 1
York, PA 17402
Phone (717) 885-0503

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514851200000",
    "number": "1790050185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174028741",
            "telephone_number": "717-885-0503",
            "fax_number": "717-650-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174028741",
            "telephone_number": "717-885-0503",
            "fax_number": "717-650-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORLAN PSYCHOLOGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2018-01-02",
        "status": "A",
        "authorized_official_last_name": "ABBOUD",
        "authorized_official_first_name": "SABRA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-885-0503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; 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.