Active NPI
Kayla Yellen
- Clinical Psychologist
- New York, NY
National Provider Identifier
1881458198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 026672
- Practice address
- 420 Lexington Ave Ste 354
New York, NY 10170-0002 - Phone
- (917) 773-8674
- NPI assigned
- Feb 7, 2024
- Last updated
- Sep 27, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | NU | ||
| Clinical Psychologist | 103TC0700X | 026672 | NY | Primary |
Addresses
Primary practice location
420 Lexington Ave Ste 354
New York, NY 10170-0002
Mailing address
303 E 83Rd St Apt 19a
New York, NY 10028-4320
Phone (716) 908-5516
Other practice location 1
200 W 57th St Ste 1008
New York, NY 10019-3237
Phone (646) 837-5557
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026672 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nyc Psychology PC | Multi-Specialty | Current | Accepting new patients |
Locations
200 W 57th St
Ste 1008
New York, NY 10019
Phone (646) 655-3806
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1881458198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 E 83RD ST APT 19A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100284320",
"telephone_number": "716-908-5516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 LEXINGTON AVE STE 354",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101700002",
"telephone_number": "917-773-8674"
}
],
"practiceLocations": [
{
"address_1": "200 W 57th St Ste 1008",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100193237",
"country_code": "US",
"telephone_number": "646-837-5557",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YELLEN",
"first_name": "KAYLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-07",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "026672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.