NPIMap

Organization Active NPI

Jeanne Yakin LTD

  • Clinical Psychologist
  • Deerfield, IL
National Provider Identifier
1962643999
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.007436 Issued in IL
Legal business name
JEANNE YAKIN LTD
Doing business as
Ivy Testing Associates
Practice address
500 Lake Cook Rd
Suite 350
Deerfield, IL 60015-5609
Phone
(847) 597-7047
Fax
(847) 282-5001
NPI assigned
Mar 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Authorized official

Name
Jeanne Yakin, PH.D.
Title
President
Phone
(312) 342-0266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 071.007436 IL Primary

Addresses

Primary practice location

500 Lake Cook Rd
Suite 350
Deerfield, IL 60015-5609

Mailing address

500 Lake Cook Rd
Suite 350
Deerfield, IL 60015-5609
Phone (847) 597-7047

Other names 1

  • Ivy Testing Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1962643999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LAKE COOK RD",
            "address_2": "SUITE 350",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155609",
            "telephone_number": "847-597-7047",
            "fax_number": "847-282-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LAKE COOK RD",
            "address_2": "SUITE 350",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155609",
            "telephone_number": "847-597-7047",
            "fax_number": "847-282-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNE YAKIN LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-21",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "YAKIN",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-342-0266",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivy Testing Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.