DR. DERIK YAGER-ELORRIAGA (NPI# 1659993236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659993236 |
| Entity Type | Individual |
| Full Name | DR. DERIK YAGER-ELORRIAGA |
| Credential | PHD |
| Practice Address |
123 S Broad St Ste 1948 Philadelphia PA 19109-1041 |
| Mailing Address |
1900 Arch St Apt 305 Philadelphia PA 19103-1533 |
| Practice Telephone | 2674280030 |
| Mailing Telephone | 7173214668 |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PS018715 | PA | Behavioral Health & Social Service Providers |
| Street Address |
123 S BROAD ST STE 1948 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19109-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366890337 | Adrian Chiu, Ph.d., Pllc | Community/Behavioral Health | 123 S Broad St Ste 1948, Philadelphia, PA 19109-1029 | 2016-05-31 |
| 1396217402 | Lauran M Terragrossa | Counselor | 123 S Broad St Ste 1948, Philadelphia, PA 19109-1029 | 2018-12-31 |
| 1659849230 | Alexander Harne | Psychologist | 123 S Broad St Ste 1948, Philadelphia, PA 19109-1029 | 2018-11-13 |
| 1912412107 | Valeriya G Spektor | Psychologist | 123 S Broad St Ste 1948, Philadelphia, PA 19109-1029 | 2017-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609015056 | Katie Woo Castelo | Nurse Practitioner | 34th St and Civic Center Blvd, Philadelphia, PA 19109 | 2009-02-09 |
| 1972005643 | Brittany Leigh Trimble | Social Worker | 123 S Broad St Ste 1641, Philadelphia, PA 19109-1027 | 2018-03-08 |
| 1518596360 | Christina Garcia | Counselor | 123 S Broad St Ste 1641, Philadelphia, PA 19109-1027 | 2020-04-03 |
| 1609439595 | Allison M Mallowe | Dietitian, Registered | 123 S Broad St Ste 1641, Philadelphia, PA 19109-1027 | 2019-04-17 |
| 1215408919 | Corinne Ellis | Dietitian, Registered | 123 S Broad St Ste 1641, Philadelphia, PA 19109-1027 | 2018-12-07 |
| 1881857969 | Ian Carlo Arnau Casimiro | Internal Medicine | S Broad St, Philadelphia, PA 19109-1029 | 2008-07-08 |
| 1043219892 | James Warner Nettleton | Psychologist | 123 S Broad St, 22 Floor, Philadelphia, PA 19109-1029 | 2005-07-14 |
| 1104462787 | Helson Joseph Meirino | Social Worker | 123 S Broad St, Philadelphia, PA 19109-1029 | 2019-11-19 |
| 1437512415 | Leah May Roberts | Student in an Organized Health Care Education/Training Program | S Broad St, 7th Floor, Zone B, Philadelphia, PA 19109-1029 | 2016-03-29 |
| 1881090751 | Adrian Chiu | Psychologist | 123 S Broad St, Ste 1948, Philadelphia, PA 19109-1029 | 2014-11-05 |
| Find all providers in zip 19109 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914897 | Integrated Psychotherapy & Assessment Practice of Pennsylvania | Psychologist | 405 S 62nd St, Philadelphia, PA 19143-1031 | 2020-08-29 |
| 1205449873 | Yacob T Tekie | Psychologist | 3637 Chestnut St, Philadelphia, PA 19104-2612 | 2020-08-24 |
| 1467935874 | Michael Sturgis | Psychologist | 2701 E Country Club Rd, Philadelphia, PA 19131-2831 | 2018-09-11 |
| 1831548726 | Laurene Finley | Psychologist | 2122 N 18th St, 2nd Floor, Philadelphia, PA 19121-1623 | 2016-06-10 |
| 1740655851 | Sonya Lalisse Lott | Psychologist | 607 E Sedgwick St, Philadelphia, PA 19119-1329 | 2015-12-01 |
| 1437587565 | Attune Therapy Group PC | Psychologist | 132 S 17th St, 3rd Floor, Philadelphia, PA 19103 | 2013-10-29 |
| 1568643070 | Paul Richard Linder | Psychologist | 8423 Ridgeway St, Philadelphia, PA 19111-1356 | 2007-11-27 |
| 1972783256 | Reginald Banks | Psychologist | 4232 Parkside Ave, Philadelphia, PA 19104-1021 | 2007-11-05 |
| 1588843429 | Eric Baron Spiegel | Psychologist | 132 S 17th St Fl 3, Philadelphia, PA 19103 | 2007-10-28 |
| 1679783153 | Edward George Daniels | Psychologist | 530 S 2nd St, Suite 737, Philadelphia, PA 19147-2420 | 2007-05-23 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19109 |
Please comment or provide details below to improve the information on DR. DERIK YAGER-ELORRIAGA.
| 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.