Individual provider Active NPI

Yvonne Robinson

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, MS
National Provider Identifier
1962074021
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
904620 Issued in MS
Practice address
1120 E Main St Ste 24
Philadelphia, MS 39350-2300
Phone
(601) 781-8677
Fax
(601) 676-0550
NPI assigned
Jul 16, 2021
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 904620 MS Primary

Addresses

Primary practice location

1120 E Main St Ste 24
Philadelphia, MS 39350-2300

Mailing address

1120 E Main St Ste 24
Philadelphia, MS 39350-2300
Phone (601) 781-8677

Other practice location 1

9431 Eastside Drive Ext Ste B
Newton, MS 39345-8072
Phone (601) 635-2990

Other practice location 2

2320 Highway 19 N Ste A
Meridian, MS 39307-4035
Phone (601) 512-0927

Other practice location 3

8613 MS Highway 12
Ackerman, MS 39735-8917
Phone (601) 781-8677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210722003469 MS Practitioner - Nurse Practitioner 6507269933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2323 5TH St N
Columbus, MS 39705-2213
Phone (662) 214-8331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
904620MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mse Behavioral & Mental Health Services Psychiatric/Mental Health CurrentSince Mar 1, 2023 Accepting new patients
Intouch Psychological Services LLC Psychiatric/Mental Health CurrentSince Jul 19, 2021 Accepting new patients
Right Track Medical Group, Inc CurrentSince May 1, 2022 Accepting new patients

Locations

8613 MS Highway 12
Ackerman, MS 39735
Phone (662) 285-4400

2323 5th St N
Columbus, MS 39705
Phone (662) 214-8331

2502 9th St
Meridian, MS 39301
Phone (601) 512-0927

1120 E Main St
Ste 24
Philadelphia, MS 39350
Phone (601) 781-8677

200 Highway 12 E
Starkville, MS 39759
Phone (662) 498-1900

Interoperability endpoints

  • Direct secure messaging: yvonne.robinson.1@27670.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1962074021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E MAIN ST STE 24",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502300",
            "telephone_number": "601-781-8677",
            "fax_number": "601-676-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E MAIN ST STE 24",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502300",
            "telephone_number": "601-781-8677",
            "fax_number": "601-676-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9431 Eastside Drive Ext Ste B",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MS",
            "postal_code": "393458072",
            "country_code": "US",
            "telephone_number": "601-635-2990",
            "fax_number": "601-676-0550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2320 Highway 19 N Ste A",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393074035",
            "country_code": "US",
            "telephone_number": "601-512-0927",
            "fax_number": "601-676-0550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8613 MS Highway 12",
            "address_purpose": "LOCATION",
            "city": "Ackerman",
            "state": "MS",
            "postal_code": "397358917",
            "country_code": "US",
            "telephone_number": "601-781-8677",
            "fax_number": "601-676-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "YVONNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "904620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, MS

Sources for this page

Verify at the official NPI Registry.