Individual provider Active NPI

Michael Yanchus, NCSP

  • School Psychologist
  • Lewes, DE
National Provider Identifier
1972269710
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
236638 Issued in DE
Practice address
1270 Kings Hwy
Lewes, DE 19958-1783
Phone
(302) 645-6686
NPI assigned
Nov 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 236638 DE Primary

Addresses

Primary practice location

1270 Kings Hwy
Lewes, DE 19958-1783

Mailing address

1270 Kings Hwy
Lewes, DE 19958-1783
Phone (302) 645-6686

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

LicenseStateTypeSpecialty
236638DEMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Dawson School PastSince Nov 21, 2021 Accepting new patients
State of Delaware PastSince Nov 21, 2021 Accepting new patients

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": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1972269710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 KINGS HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581783",
            "telephone_number": "302-645-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 KINGS HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581783",
            "telephone_number": "302-645-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCHUS",
        "first_name": "MICHAEL",
        "credential": "NCSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "DE",
            "license": "236638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.