Healthcare Provider Details

I. General information

NPI: 1750924338
Provider Name (Legal Business Name): ALICIA S. YEUNG DNP, CNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2019
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

263 CONCORD AVE
CAMBRIDGE MA
02138-1398
US

IV. Provider business mailing address

263 CONCORD AVE
CAMBRIDGE MA
02138-1398
US

V. Phone/Fax

Practice location:
  • Phone: 857-858-5152
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number780977-01
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number403892
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2360906
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2360906
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: