Active NPI
Yesel Yoon, PHD
- Clinical Psychologist
- Woodside, NY
National Provider Identifier
1861057135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 023043
- Practice address
- 3945 51St St Apt 3F
Woodside, NY 11377-3164 - Phone
- (301) 461-4524
- NPI assigned
- May 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 023043 | NY | Primary |
Addresses
Primary practice location
3945 51St St Apt 3F
Woodside, NY 11377-3164
Mailing address
3945 51St St Apt 3F
Woodside, NY 11377-3164
Phone (301) 461-4524
Other practice location 1
11304 Coral Gables Dr
North Potomac, MD 20878-3803
Phone (301) 461-4524
Other practice location 2
303 5th Ave Rm 1105
New York, NY 10016-6668
Phone (301) 461-4524
Other practice location 3
303 5th Ave Rm 1005
New York, NY 10016-6650
Phone (301) 461-4524
Other practice location 4
49 W 74th St Apt D
New York, NY 10023-2382
Phone (301) 461-4524
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1861057135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3945 51ST ST APT 3F",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113773164",
"telephone_number": "301-461-4524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3945 51ST ST APT 3F",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113773164",
"telephone_number": "301-461-4524"
}
],
"practiceLocations": [
{
"address_1": "11304 Coral Gables Dr",
"address_purpose": "LOCATION",
"city": "North Potomac",
"state": "MD",
"postal_code": "208783803",
"country_code": "US",
"telephone_number": "301-461-4524",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "303 5th Ave Rm 1105",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100166668",
"country_code": "US",
"telephone_number": "301-461-4524",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "303 5th Ave Rm 1005",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100166650",
"country_code": "US",
"telephone_number": "301-461-4524",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "49 W 74th St Apt D",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100232382",
"country_code": "US",
"telephone_number": "301-461-4524",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOON",
"first_name": "YESEL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-02",
"last_updated": "2023-07-17",
"certification_date": "2021-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "023043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.