Individual provider Active NPI

David Yarosh, PH.D

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1962726828
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
003346 Issued in NY
Practice address
124 E 84TH St Apt 1D
New York, NY 10028-0918
Phone
(212) 772-3029
NPI assigned
Mar 22, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 003346 NY Primary

Addresses

Primary practice location

124 E 84TH St Apt 1D
New York, NY 10028-0918

Mailing address

124 E 84TH St Apt 1D
New York, NY 10028-0918
Phone (212) 772-3029

Other names 1

  • Dr. David Yarosh Professional name

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
003346NYMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1962726828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E 84TH ST APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280918",
            "telephone_number": "212-772-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E 84TH ST APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280918",
            "telephone_number": "212-772-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAROSH",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-22",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "003346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "YAROSH",
            "prefix": "DR.",
            "credential": "PH.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.