Provider Demographics
NPI:1023360393
Name:YES PSYCHOTHERAPY SERVICES LCSW PLLC
Entity Type:Organization
Organization Name:YES PSYCHOTHERAPY SERVICES LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:IRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:YANKELEVICH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:718-896-5615
Mailing Address - Street 1:7235 112TH ST
Mailing Address - Street 2:APT. 12C
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5469
Mailing Address - Country:US
Mailing Address - Phone:718-896-5615
Mailing Address - Fax:718-576-2693
Practice Address - Street 1:10915 QUEENS BLVD
Practice Address - Street 2:LL
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-5482
Practice Address - Country:US
Practice Address - Phone:718-896-5615
Practice Address - Fax:718-576-2693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0798931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty