Active NPI
Rebecca Gail Yasunaga, PHD
- Clinical Psychologist
- Whiteman Afb, MO
National Provider Identifier
1831218858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0638P
- Practice address
- 705 Atlas Dr
Whiteman Afb, MO 65305-1279 - Phone
- (501) 288-2588
- Fax
- (501) 288-2588
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 06-38P | AR | |
| Clinical Psychologist | 103TC0700X | 0638P | AR | Primary |
Addresses
Primary practice location
705 Atlas Dr
Whiteman Afb, MO 65305-1279
Mailing address
705 Atlas Dr
Whiteman Afb, MO 65305-1279
Phone (501) 288-2588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0638P | AR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Families, Inc of Arkansas | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jonesboro, AR
- NPI 1770535569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323475200000",
"number": "1831218858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 ATLAS DR",
"city": "WHITEMAN AFB",
"state": "MO",
"postal_code": "653051279",
"telephone_number": "501-288-2588",
"fax_number": "501-288-2588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 ATLAS DR",
"city": "WHITEMAN AFB",
"state": "MO",
"postal_code": "653051279",
"telephone_number": "501-288-2588",
"fax_number": "501-288-2588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YASUNAGA",
"first_name": "REBECCA",
"middle_name": "GAIL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2011-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "AR",
"license": "06-38P",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AR",
"license": "0638P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whiteman Afb, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.