Yeretsian Medical Corporation

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

01026546A Issued in IN

Legal business name

YERETSIAN MEDICAL CORPORATION

Practice address

303 East 89TH Ave
Ste a
Merrillville, IN 46410-8126

Phone

(219) 738-2345

Fax

(800) 520-4604

NPI assigned

Nov 20, 2008

Organization subpart

No

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

Authorized official

Name

Ara K Yeretsian, M.D.

Title

President

Phone

(219) 738-2345

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1992950752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E 89TH AVE",
            "address_2": "STE A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108126",
            "telephone_number": "219-738-2345",
            "fax_number": "800-520-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 EAST 89TH AVE",
            "address_2": "STE A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108126",
            "telephone_number": "219-738-2345",
            "fax_number": "800-520-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YERETSIAN MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "YERETSIAN",
        "authorized_official_first_name": "ARA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-738-2345",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IN",
            "license": "01026546A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce R Yalowitz, MD
• Maisee Yang, BA, RBT
• Adolph Ralph Yaniz, MD
• Calvin Butler Yates, O.D.
• Leon A Yeh, MD
• Brittany Ann Young
• Destiny Andrea Young
• Julito Lucio Yranela, CRNA
• Theresia Yunita, MA
• Yvon Nazon MD SC

• Adult Mental Health Clinic/Center in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Adult Mental Health Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.