Andrea Lopez-Yianilos, PSY.D.
Individual provider Active NPI Clinical Psychologist · New York, NY
NPI 1821586546 · NPPES record last updated Oct 28, 2021
Key facts
- NPI
- 1821586546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 022934 (NY)
- Practice address
- 115 W 30TH St RM 709
New York, NY 10001-4068 - Phone
- (646) 397-7626
- NPI assigned
- Apr 27, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2023 through Oct 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022934 | NY | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 022934 | NY | Yes |
Addresses
Primary practice location
115 W 30TH St RM 709
New York, NY 10001-4068
Mailing address
13625 SW 82ND CT
Palmetto Bay, FL 33158-1010
Phone (305) 890-4771
Other providers in New York, NY
- Sonia Lopez-Moriarty
- Jaime F Lopez-Santini
- Lorena Lopez-Tobia
- Ana Victoria Lopez-Vazquez
- Hector Ismael Lopez-Vergara
- Aaron Xavier Lopez
- Abby Gale Lopez
- Aida Josefina Lopez
- Alana Lopez
- Alfredo Eleuterio Lopez
All providers in New York, NY · Clinical Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.