Carolyn M Yeager, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

9220 Issued in NY

Practice address

283 Commack Rd
Suite 100
Commack, NY 11725-3400

Phone

(631) 462-1032

Fax

(631) 462-5620

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

Yes

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 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

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1952475360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 COMMACK RD",
            "address_2": "SUITE 100",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253400",
            "telephone_number": "631-462-1032",
            "fax_number": "631-462-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 COMMACK RD",
            "address_2": "SUITE 100",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253400",
            "telephone_number": "631-462-1032",
            "fax_number": "631-462-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGER",
        "first_name": "CAROLYN",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "9220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Michael Wyler, LMHC,NCC,CASAC
• Laurence A Wynn, DDS
• Tanima Yaibuathes, NP
• Irene C Yarusso, ANP-C
• Regina Yavel, M.D.
• Raymond J. Yeager, PH.D.
• Amy M Yee
• Elyssa Jodi Yoos, LCSW
• Michelle Young, M.D
• Changpae J Yu, DMD

• Clinical Psychologist in Commack, NY
• Providers in Commack, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.