Active NPI
Karina Yakubova
- Behavior Analyst
- Rego Park, NY
National Provider Identifier
1962019067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1417648201
- Practice address
- 6509 99TH St
Apt 3S
Rego Park, NY 11374-3529 - Phone
- (347) 445-0041
- NPI assigned
- Sep 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1417648201 | NY | Primary |
Addresses
Primary practice location
6509 99TH St
Apt 3S
Rego Park, NY 11374-3529
Mailing address
6509 99TH St Apt 3S
Rego Park, NY 11374-3529
Phone (347) 445-0041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 742329461-00 | Other | NY | FIDELIS CARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | kyakubov91 |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1417648201 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601337600000",
"number": "1962019067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6509 99TH ST APT 3S",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113743529",
"telephone_number": "347-445-0041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6509 99TH ST",
"address_2": "APT 3S",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113743529",
"telephone_number": "347-445-0041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAKUBOVA",
"first_name": "KARINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-23",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "1417648201",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS CARE",
"identifier": "742329461-00",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "kyakubov91",
"affiliation": "N",
"address_1": "6509 99th St Apt 3S",
"city": "Rego Park",
"state": "NY",
"country_code": "US",
"postal_code": "113743529",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.