Organization Active NPI

Mary Ann Yenason PH D

  • Psychologist
  • Kingston, PA
National Provider Identifier
1992875009
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS-006050-L Issued in PA
Legal business name
MARY ANN YENASON PH D
Practice address
311 Market St
Kingston, PA 18704-5428
Phone
(570) 718-1988
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Mary Ann Yenason, PH D
Title
Owner
Phone
(570) 718-1988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PS-006050-L PA Primary

Addresses

Primary practice location

311 Market St
Kingston, PA 18704-5428

Mailing address

311 Market St
Kingston, PA 18704-5428
Phone (570) 718-1988

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1992875009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 MARKET ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045428",
            "telephone_number": "570-718-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MARKET ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045428",
            "telephone_number": "570-718-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANN YENASON PH D",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "YENASON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-718-1988",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-006050-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.