Healthcare Provider Details

I. General information

NPI: 1568306488
Provider Name (Legal Business Name): ADAM YAZBECK, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8250 S KEARNEY ST
CENTENNIAL CO
80112-3002
US

IV. Provider business mailing address

8250 S KEARNEY ST
CENTENNIAL CO
80112-3002
US

V. Phone/Fax

Practice location:
  • Phone: 415-405-6824
  • Fax:
Mailing address:
  • Phone: 415-405-6824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ADAM YAZBECK
Title or Position: OWNER
Credential: CPNP-AC, PMHNP-BC
Phone: 415-405-6824