Individual provider Active NPI

Kayla Yellen

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1881458198
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
026672 Issued in NY
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
026672NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nyc Psychology PC Multi-Specialty CurrentSince Feb 1, 2024 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.

Verify at the official NPI Registry.