Theresa Marie Yakich, M.S., BCBA

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

1-06-2915 Issued in CO

Practice address

3578 Hartsel Dr
Unit E-117
Colorado Springs, CO 80920-2103

Phone

(719) 799-3259

Fax

(719) 260-6667

NPI assigned

Sep 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Behavior Solutions, Inc.

  • Behavior Analyst
  • Colorado Springs, CO
  • NPI 1568806792
  NPD (past) Authorized official
• Family Support Center of Colorado, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Colorado Springs, CO
  • NPI 1134733512
  NPD (past)

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1912156977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3578 HARTSEL DR",
            "address_2": "UNIT E-117",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809202103",
            "telephone_number": "719-799-3259",
            "fax_number": "719-260-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3578 HARTSEL DR",
            "address_2": "UNIT E-117",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809202103",
            "telephone_number": "719-799-3259",
            "fax_number": "719-260-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKICH",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CO",
            "license": "1-06-2915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wzupdoc, Inc.
• You Xu, M.D.
• Dominic Yacono
• Rachanee Renee Yaemsang, DNP, CNM, APRN
• Craig Yager, MD
• Hannah Yaksich
• Suma Yalamanchili
• Yasufumi Yamazaki, D.D.S.
• Teresa Yambo
• Jodi K P Yanagida, DO

• Cognitive & Behavioral Psychologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Cognitive & Behavioral Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.