SARAH YASSIN (NPI# 1194330266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194330266 |
| Entity Type | Individual |
| Full Name | SARAH YASSIN |
| Credential | PSYCH D |
| Practice Address |
6677 W Thunderbird Rd Ste D148 Glendale AZ 85306-3769 |
| Practice Telephone | 6028433811 |
| Practice Fax Number | 6028430044 |
| Mailing Telephone | 6028433811 |
| Mailing Fax Number | 6028430044 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY-005225 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | STATE LICENSE | PSY-005225 | 01 |
| Street Address |
6677 W THUNDERBIRD RD STE D148 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306-3769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720041114 | Michael A Epstein | Psychiatry & Neurology | 6677 W Thunderbird Rd Ste D148, Glendale, AZ 85306-3769 | 2006-04-08 |
| 1023338423 | Eric W Johnson | Psychologist | 6677 W Thunderbird Rd Ste D148, Glendale, AZ 85306 | 2010-06-08 |
| 1679590616 | Praful Anugu Reddy | Family Medicine | 6677 W Thunderbird Rd Ste D148, Glendale, AZ 85306-3769 | 2006-07-16 |
| 1548223936 | David A Bliklen | Psychiatry & Neurology | 6677 W Thunderbird Rd Ste D148, Glendale, AZ 85306-3769 | 2006-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558762575 | Zyanya Mendoza | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 140, Glendale, CA 91206 | 2014-09-09 |
| 1891108031 | Charles Pilavian | Clinical Neuropsychologist | 138 N Brand Blvd Ste 300, Glendale, CA 91203 | 2014-06-05 |
| 1205034691 | Lovingly Quitania Park | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 355, Glendale, CA 91206-4159 | 2007-07-06 |
| 1932317229 | John William St. Clair | Clinical Neuropsychologist | 6222 W Caribbean Ln, Glendale, AZ 85306-5206 | 2007-05-18 |
| 1184792293 | Alicia Susana Hansen | Clinical Neuropsychologist | 524 N Maryland Ave Apt 1, Glendale, CA 91206-2266 | 2006-11-30 |
| 1457381501 | Margaret Ann Donohue | Clinical Neuropsychologist | 135 S Jackson St Ste 204, Glendale, CA 91205-4918 | 2006-07-04 |
| 1932146172 | Diane Marie Mosnik | Clinical Neuropsychologist | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2006-05-31 |
| 1477534634 | Michael Forbes Warden | Clinical Neuropsychologist | 7155 W Campo Bello Dr Ste C120, Glendale, AZ 85308-8594 | 2005-11-07 |
| 1376922617 | Lovingly Quitania Park, Ph.d. | Clinical Neuropsychologist | 1560 E Chevy Chase Dr, Glendale, CA 91206-4197 | 2015-05-19 |
| 1184928111 | Helena Grant Huckabee | Clinical Neuropsychologist | 400 S Colorado Blvd, Ste 860, Glendale, CO 80246-1253 | 2011-01-05 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.