Provider Demographics
NPI:1568900645
Name:YES PSYCHOTHERAPY SERVICES
Entity Type:Organization
Organization Name:YES PSYCHOTHERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:IRIS
Authorized Official - Middle Name:SONIA
Authorized Official - Last Name:YANKELEVICH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-MA
Authorized Official - Phone:718-896-5615
Mailing Address - Street 1:10829 70TH AVE
Mailing Address - Street 2:FOREST HILLS
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4349
Mailing Address - Country:US
Mailing Address - Phone:718-896-5615
Mailing Address - Fax:
Practice Address - Street 1:10829 70TH AVE
Practice Address - Street 2:FOREST HILLS
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4349
Practice Address - Country:US
Practice Address - Phone:718-896-5615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YES PSYCHOTHERAPY SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY079893-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty