DR. ERIC SHANE YELLIN (NPI# 1821521006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821521006 |
| Entity Type | Individual |
| Full Name | DR. ERIC SHANE YELLIN |
| Credential | PSY.D. |
| Practice Address |
1545 Atlantic Ave Brooklyn NY 11213-1122 |
| Mailing Address |
1545 Atlantic Ave Brooklyn NY 11213 |
| Practice Telephone | 7186134983 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 021859 | NY | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
021859 | NY | Behavioral Health & Social Service Providers |
| Street Address |
1545 ATLANTIC AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11213-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558366575 | David R Trauber | Internal Medicine | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2005-06-16 |
| 1104426196 | Isaiah Jacoby Hammonds | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-10-28 |
| 1376159962 | Amita Arora | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-09-18 |
| 1922613389 | Amulya Lakshmi Bellamkonda | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-09-12 |
| 1881208007 | Binit Aryal | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-09-04 |
| 1245843499 | Pooja Kc | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-27 |
| 1811500127 | Aakriti Shrestha | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-26 |
| 1326651969 | Unknown Tsering Dolkar | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-24 |
| 1063025625 | Roshan Bisural | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-24 |
| 1306459979 | Samaj Adhikari | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2020-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885262 | Zaire Hairston | Counselor | 1625 President Street Brooklyn, Ny 11213 Apt 3a, 1625 President Street Brooklyn, Ny 11213 Apt 3a, Brooklyn, NY 11213 | 2020-06-09 |
| 1447801394 | Rron Lleshi | Physician Assistant | 1635 Union Street, Apt 1a, Brooklyn, NY 11213 | 2019-09-23 |
| 1639723174 | Jamie Zena Morris | Licensed Vocational Nurse | 1372 Sterling Pl B2, Brooklyn, NY 11213 | 2019-08-01 |
| 1073097572 | Mariia Tonkonog | Specialist | 878 Easetern Pkwy, Brooklyn, NY 11213 | 2018-09-20 |
| 1114413234 | Rimma Salganik | Social Worker | Bright Futures for The Children, 119 Schenectady Ave, Brooklyn, NY 11213 | 2018-07-02 |
| 1861980138 | Ibrahim Elkattawy | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave # 11213, Brooklyn, NY 11213 | 2018-04-23 |
| 1528571858 | Rivkah Shuchat | Physical Therapist | Homecare, Brooklyn, NY 11213 | 2017-11-08 |
| 1356854699 | Lisa Watler | Physical Therapy Assistant | 1470 Union Street, Brooklyn, NY 11213 | 2017-11-08 |
| 1962914713 | Rockaway Ave Pharmacy Inc | Pharmacist | 226 Schenectady Ave, Brooklyn, NY 11213 | 2017-11-02 |
| 1649796152 | Janet Agbaku | Registered Nurse | 893 Eastern Parkway, Fl 2, Brooklyn, NY 11213 | 2017-08-16 |
| Find all providers in zip 11213 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487774 | Rebecca Kason | Psychologist | 38 Broome St Apt 2b, Brooklyn, NY 11222-5515 | 2020-11-05 |
| 1780295790 | Jiyoon Lee | Psychologist | 6 Metrotech Ctr # B020, Brooklyn, NY 11201-3840 | 2020-08-12 |
| 1912517608 | Hannah Wertz | Psychologist | 485 7th Ave Apt 3, Brooklyn, NY 11215-5545 | 2020-08-06 |
| 1023636271 | Jenny Wallier | Psychologist | 75 80th St, Brooklyn, NY 11209-3511 | 2020-07-13 |
| 1669096632 | Gaurang Choksi | Psychologist | 44 Meserole St Apt 401, Brooklyn, NY 11206-1996 | 2020-06-04 |
| 1164057436 | Clear Reflections Psychotherapy Pllc | Psychologist | 225 S Main St Ste C, Brooklyn, MI 49230-9158 | 2020-03-07 |
| 1306482021 | Sara Teta | Psychologist | 436 Court Street # 7, Brooklyn, NY 11231 | 2019-11-19 |
| 1346895125 | Margo Kahn | Psychologist | 1326 38th St, Brooklyn, NY 11218-3612 | 2019-08-07 |
| 1134773559 | Flourish Psychology, Pllc | Psychologist | 300 Cadman Plz W # 12115, Brooklyn, NY 11201-3229 | 2019-07-25 |
| 1598328007 | Scott Lyons | Psychologist | 380 Butler St Apt 3, Brooklyn, NY 11217-3103 | 2019-04-19 |
| Find all providers in BROOKLYN | ||||
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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.