Individual provider Active NPI

Yojana Veeramasuneni, PSYD

  • Clinical Psychologist
  • Saint Joseph, MI
National Provider Identifier
1952562175
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301014653 Issued in MI
Practice address
1030 Miners Road
Saint Joseph, MI 49085
Phone
(269) 408-1688
Fax
(269) 408-1692
NPI assigned
Jun 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071009028 IL
Clinical Social Worker 1041C0700X 6801092352 MI
Clinical Psychologist 103TC0700X 6301014653 MI Primary

Addresses

Primary practice location

1030 Miners Road
Saint Joseph, MI 49085

Mailing address

1030 Miners Rd
Saint Joseph, MI 49085-9625
Phone (269) 408-1688

Other practice location 1

30 N Michigan Ave Ste 1302
Chicago, IL 60602-3796
Phone (312) 590-1949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20140102001288 MI Practitioner - Clinical Psychologist 4385812536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Specialties, PLCGroup PAC ID 5799729265, 10 clinicians

Practice addresses (Care Compare)

1030 Miners Rd
Saint Joseph, MI 49085-9709

415 Main St
Suite a
Saint Joseph, MI 49085-3100
Phone (269) 408-1688

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071009028ILMDClinical Psychologist
6801092352MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Specialties, PLC Clinical CurrentSince Nov 25, 2013 Accepting new patients
Psychiatric and Psychological Specialties Clinical CurrentSince May 14, 2023 Accepting new patients

Locations

30 N Michigan Ave
Ste 1302
Chicago, IL 60602
Phone (312) 501-5530

415 Main St
Ste A
Saint Joseph, MI 49085
Phone (269) 408-1688

1030 Miners Rd
Saint Joseph, MI 49085
Phone (269) 408-1688

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27120/brand/1/csg/1/fhir/r4
  • Direct secure messaging: yojana.veeramasuneni.1@27120.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1952562175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 MINERS RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859625",
            "telephone_number": "269-408-1688",
            "fax_number": "269-408-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MINERS ROAD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "49085",
            "telephone_number": "269-408-1688",
            "fax_number": "269-408-1692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 N Michigan Ave Ste 1302",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606023796",
            "country_code": "US",
            "telephone_number": "312-590-1949",
            "fax_number": "269-408-1692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEERAMASUNENI",
        "first_name": "YOJANA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009028",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092352",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

Verify at the official NPI Registry.