Clyde H Yan, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

71006551A Issued in IN

Practice address

9245 N Meridian St Ste 300
Indianapolis, IN 46260-1832

Phone

(317) 818-9000

Fax

(317) 818-9009

NPI assigned

Oct 4, 2016

Sex

Male

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

Enrolled in IN, OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Indiana University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Anxiety Center LLCGroup PAC ID 2668915059, 11 clinicians

Axon Network Services, LLCGroup PAC ID 0143750844, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Axon Network Services, LLC

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1124535109
  Medicare reassignment Care Compare group NPD
• The Anxiety Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
  • NPI 1881208189

  IN

  Medicare reassignment Care Compare group NPD
• Axon TMS

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1184279697
  Medicare reassignment NPD
• Health Associates Indy

  • Psychologist
  • Indianapolis, IN
  • NPI 1578253233
  Medicare reassignment NPD
• Alpine Clinic, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lafayette, IN
  • NPI 1548274202
  NPD
• The Anxiety Center LLC

  • Nurse Practitioner
  • Cincinnati, OH
  • NPI 1487441192
  NPD

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1922558865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 N MERIDIAN ST STE 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601832",
            "telephone_number": "317-818-9000",
            "fax_number": "317-818-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 N MERIDIAN ST STE 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601832",
            "telephone_number": "317-818-9000",
            "fax_number": "317-818-9009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7340 Crossing Pl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460382730",
            "country_code": "US",
            "telephone_number": "463-220-0437",
            "fax_number": "317-245-3067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAN",
        "first_name": "CLYDE",
        "middle_name": "H",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-04",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71006551A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanita Yakhmi, MD
• Mohamed Ahmed Yakoub, MD
• Anastasiya Yakovlyeva
• Monica Yamauti, DDS
• Abdul-Aziz Yamobi
• Jingliang Yan, M.D. PH.D.
• Melissa Noela Yan, M.D.
• Allison M Yancey, MD
• Becky Jo Yancey, PA
• Kyle W Yancey, MD

• Psychiatric/Mental Health Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.