DR. DONNA YEISLEY (NPI# 1609956796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609956796 |
| Entity Type | Individual |
| Full Name | DR. DONNA YEISLEY |
| Credential | PHD |
| Practice Address |
2335 Black Rock Tpke Fairfield CT 06825-3220 |
| Practice Telephone | 2033629556 |
| Practice Fax Number | 2033727596 |
| Mailing Telephone | 2033629556 |
| Mailing Fax Number | 2033727596 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2009-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
002871 | CT | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
013314 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02009929 | 05 |
| Street Address |
2335 BLACK ROCK TPKE |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376644211 | Christina J Taylor | Psychologist | 2335 Black Rock Tpke, Hall 2, Fairfield, CT 06825-3220 | 2006-09-25 |
| 1437501178 | Leslie Marshall LLC | Marriage & Family Therapist | 2335 Black Rock Tpke, Fairfield, CT 06825-3220 | 2016-07-06 |
| 1467572479 | Mary Jo Puglisi Vasquez | Psychologist | 2335 Black Rock Tpke, Hall #2, Fairfield, CT 06825-3220 | 2007-03-31 |
| 1205982030 | Amy A Payson | Nurse Practitioner | 2335 Black Rock Tpke, Fairfield, CT 06825-3220 | 2007-01-26 |
| 1679668875 | Cary K Goodman | Psychologist | 2335 Black Rock Tpke, Fairfield, CT 06825 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376535 | Andrew Kalach | Physical Therapist | 2373 Black Rock Turnpike, Fairfield, CT 06825 | 2020-08-13 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| 1730720145 | L Burke LLC | Marriage & Family Therapist | 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 | 2019-10-07 |
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1497131239 | Alice Z Kelly | Social Worker | 113 Sky Top Drive, Fairfield, CT 06825 | 2015-08-04 |
| 1902218647 | John Feiler | Occupational Therapist | 175 Jefferson St., Fairfield, CT 06825 | 2014-05-29 |
| 1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1538468012 | Barbara Cohen | Occupational Therapist | 175 Jefferson Street, Fairfield, CT 06825 | 2011-03-23 |
| Find all providers in zip 06825 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407404684 | Siobhan O'leary Evarts | Psychologist | 1275 Post Rd Ste A18, Fairfield, CT 06824-6060 | 2019-08-30 |
| 1164887949 | Kara Emery | Psychologist | 520 Chadbourne Rd, Fairfield, CA 94534-9453 | 2015-12-22 |
| 1619220563 | April Justine Young | Psychologist | 712 Texas St, Fairfield, CA 94533-5519 | 2012-10-16 |
| 1306147350 | Dody J. Reustle | Psychologist | 711 Jefferson Street, Suite 202, Fairfield, CA 94533-5556 | 2010-11-08 |
| 1033438015 | Dr. Katherine Bothos, LLC | Psychologist | 170 Post Rd Ste 208, Fairfield, CT 06824-6242 | 2010-05-29 |
| 1740506054 | Agila Rangarajan | Psychologist | 2812 Mack Rd, Fairfield, OH 45014-5130 | 2010-04-12 |
| 1114254836 | Katherine Bothos | Psychologist | 170 Post Rd, Suite 208, Fairfield, CT 06824-6242 | 2009-11-17 |
| 1871764076 | Norma Jean Van Volkinburg | Psychologist | 694 A Street, Travis Air Force Base To, Fairfield, CA 94535 | 2008-03-14 |
| 1033388327 | Erin R Frick | Psychologist | 728 Texas St, Suite 3, Fairfield, CA 94533-5560 | 2008-02-21 |
| 1679768329 | Pioli Psychological Services | Psychologist | 1495 Black Rock Turnpike, Fairfield, CT 06825 | 2007-09-06 |
| Find all providers in FAIRFIELD | ||||
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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.