Individual provider Active NPI

Yuanxia Zhang, PH.D.

  • Clinical Psychologist
  • Flushing, NY
National Provider Identifier
1881600823
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
015344-1 Issued in NY
Practice address
4318 Robinson St
Ste 1a
Flushing, NY 11355-3193
Phone
(212) 238-8103
Fax
(212) 238-7760
NPI assigned
Jul 31, 2006
Last updated
Feb 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 015344-1 NY Primary

Addresses

Primary practice location

4318 Robinson St
Ste 1a
Flushing, NY 11355-3193

Mailing address

4318 Robinson St
Ste 1a
Flushing, NY 11355-3193
Phone (718) 666-7176

Other identifiers 1

IdentifierTypeStateIssuer
02357793MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308001242 NY Practitioner - Clinical Psychologist 2466340716 Practice locations: Flushing, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4318 Robinson St
Suite 1a
Flushing, NY 11355-3193
Phone (718) 666-7176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
015344NYMDMental Health Counselor
015344-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Shield of David, Inc. PastSince Jan 11, 1996 Accepting new patients
Hospitalist Healthcare Services PLLC Past Accepting new patients
Able Psychology, P.C. Clinical Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1881600823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 ROBINSON ST",
            "address_2": "STE 1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553193",
            "telephone_number": "718-666-7176",
            "fax_number": "718-358-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 ROBINSON ST",
            "address_2": "STE 1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553193",
            "telephone_number": "212-238-8103",
            "fax_number": "212-238-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "YUANXIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015344-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02357793",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.