Individual provider Active NPI

Mwendalubi Yasa, M.D., M.P.H.

  • Child & Adolescent Psychiatry Physician
  • Newton, KS
National Provider Identifier
1902945934
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
08-00307 Issued in KS
Practice address
1901 East First Street
Prairie View
Newton, KS 67114-0467
Phone
(316) 281-6700
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 08-00307 KS Primary

Addresses

Primary practice location

1901 East First Street
Prairie View
Newton, KS 67114-0467

Mailing address

3007 Cottonwood Hill Dr
Newton, KS 67114-9697
Phone (816) 547-7037

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 Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1902945934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 COTTONWOOD HILL DR",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149697",
            "telephone_number": "816-547-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 EAST FIRST STREET",
            "address_2": "PRAIRIE VIEW",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671140467",
            "telephone_number": "316-281-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASA",
        "first_name": "MWENDALUBI",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KS",
            "license": "08-00307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.